Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,265.80 / $14,125.38	Facility		$1,148.15	$4,265.80	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,819.70	Professional		$741.31	$912.01	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $12,589.25 / $24,547.09	Facility		$4,677.35	$12,589.25	$24,547.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $1,778.28	Professional		$831.76	$1,318.26	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,698.24	Professional		$724.44	$1,148.15	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $3,467.37	Professional		$812.83	$1,318.26	$3,467.37
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 $954.99 / $1,000.00 / $1,096.48	Professional		$954.99	$1,000.00	$1,096.48
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 $1,288.25 / $3,388.44 / $6,165.95	Facility		$1,288.25	$3,388.44	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,737.80	Professional		$794.33	$1,071.52	$1,737.80