Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $8,511.38	Facility		$1,148.15	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $2,344.23	Professional		$977.24	$1,174.90	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $16,595.87	Facility		$3,890.45	$4,786.30	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $1,995.26	Professional		$977.24	$1,479.11	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $5,128.61	Professional		$933.25	$1,584.89	$5,128.61
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 $1,023.29 / $1,230.27 / $1,380.38	Professional		$1,023.29	$1,230.27	$1,380.38
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 / $4,365.16 / $8,912.51	Facility		$1,698.24	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,187.76	Professional		$977.24	$1,412.54	$2,187.76