Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,073.80 / $9,772.37	Facility		$1,122.02	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $2,238.72	Professional		$812.83	$1,047.13	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,511.38 / $18,197.01	Facility		$4,466.84	$8,511.38	$18,197.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,288.25 / $1,949.84	Professional		$741.31	$1,288.25	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,479.11 / $3,890.45	Professional		$933.25	$1,479.11	$3,890.45
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 $1,122.02 / $1,122.02 / $1,258.93	Professional		$1,122.02	$1,122.02	$1,258.93
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 $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,862.09	Professional		$870.96	$1,148.15	$1,862.09