Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,548.13 / $8,912.51	Facility		$1,023.29	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,479.11	Professional		$575.44	$676.08	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $14,454.40	Facility		$4,073.80	$5,128.61	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,348.96	Professional		$707.95	$1,096.48	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,348.96	Professional		$616.60	$933.25	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $3,162.28	Professional		$707.95	$1,122.02	$3,162.28
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 $776.25 / $831.76 / $933.25	Professional		$776.25	$831.76	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $707.95	Professional		$32.36	$33.11	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,348.96	Professional		$588.84	$776.25	$1,348.96