Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $7,762.47	Facility		$1,023.29	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $1,698.24	Professional		$512.86	$691.83	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $13,803.84	Facility		$4,073.80	$4,897.79	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,288.25	Professional		$758.58	$1,047.13	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,288.25	Professional		$575.44	$891.25	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $2,754.23	Professional		$676.08	$1,071.52	$2,754.23
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $891.25	Professional		$741.31	$794.33	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,302.69	Facility		$2,137.96	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,288.25	Professional		$549.54	$776.25	$1,288.25