Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $7,762.47	Facility		$1,023.29	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,584.89	Professional		$660.69	$812.83	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $8,128.31 / $11,748.98	Facility		$5,754.40	$8,128.31	$11,748.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,318.26	Professional		$831.76	$977.24	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,380.38	Professional		$707.95	$1,023.29	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $2,951.21	Professional		$660.69	$1,071.52	$2,951.21
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 $758.58 / $851.14 / $954.99	Professional		$758.58	$851.14	$954.99
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 $2,570.40 / $6,456.54 / $14,791.08	Facility		$2,570.40	$6,456.54	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,479.11	Professional		$660.69	$891.25	$1,479.11