Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $9,772.37	Facility		$1,023.29	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,513.56	Professional		$575.44	$724.44	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $15,135.61	Facility		$4,168.69	$5,128.61	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,380.38	Professional		$616.60	$912.01	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $3,715.35	Professional		$724.44	$1,148.15	$3,715.35
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 $794.33 / $851.14 / $954.99	Professional		$794.33	$851.14	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $724.44	Professional		$32.36	$33.11	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,079.46 / $14,454.40	Facility		$1,778.28	$7,079.46	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,412.54	Professional		$602.56	$812.83	$1,412.54