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 $489.78 / $630.96 / $1,288.25	Professional		$489.78	$630.96	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $10,232.93 / $12,882.50	Facility		$3,467.37	$10,232.93	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,148.15	Professional		$501.19	$776.25	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $933.25 / $2,570.40	Professional		$537.03	$933.25	$2,570.40
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 $630.96 / $691.83 / $758.58	Professional		$630.96	$691.83	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,623.41 / $9,772.37	Facility		$1,698.24	$5,623.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $1,202.26	Professional		$562.34	$707.95	$1,202.26