Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,981.07 / $9,772.37	Facility		$1,148.15	$3,981.07	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,862.09	Professional		$691.83	$831.76	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,709.64 / $13,489.63	Facility		$4,265.80	$8,709.64	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $831.76	Facility		$660.69	$660.69	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,698.24	Professional		$660.69	$1,071.52	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,479.11 / $3,715.35	Professional		$851.14	$1,479.11	$3,715.35
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 $870.96 / $1,000.00 / $1,122.02	Professional		$870.96	$1,000.00	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,096.48	Professional		$32.36	$33.11	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,165.95 / $15,488.17	Facility		$1,659.59	$6,165.95	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,621.81	Professional		$724.44	$954.99	$1,621.81