Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,570.40 / $7,762.47	Facility		$1,023.29	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,995.26	Professional		$912.01	$1,071.52	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,912.51 / $19,054.61	Facility		$7,244.36	$8,912.51	$19,054.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $1,949.84	Professional		$912.01	$1,348.96	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $5,495.41	Professional		$977.24	$1,548.82	$5,495.41
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 $1,174.90 / $1,258.93 / $1,412.54	Professional		$1,174.90	$1,258.93	$1,412.54
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 $2,238.72 / $5,495.41 / $12,302.69	Facility		$2,238.72	$5,495.41	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,137.96	Professional		$891.25	$1,148.15	$2,137.96