Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.73 / $1,230.73 / $1,496.95	Facility		$1,230.73	$1,230.73	$1,496.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.91 / $1,230.73 / $1,628.48	Professional		$976.91	$1,230.73	$1,628.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,144.78 / $9,692.20 / $19,712.49	Facility		$5,144.78	$9,692.20	$19,712.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.70 / $1,013.70 / $1,246.09	Professional		$1,013.70	$1,013.70	$1,246.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $657.66 / $1,075.30 / $3,135.10	Professional		$657.66	$1,075.30	$3,135.10
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 $695.27 / $814.24 / $913.65	Professional		$695.27	$814.24	$913.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,033.13	Professional		$32.34	$32.34	$1,033.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,508.01 / $4,508.01 / $4,541.47	Facility		$4,508.01	$4,508.01	$4,541.47
United Facility/Professional Professional Modifier Low / Median / High Price $662.97 / $1,023.24 / $1,595.11	Professional		$662.97	$1,023.24	$1,595.11