Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $9,772.37	Facility		$1,023.29	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,318.26	Professional		$537.03	$660.69	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,244.36 / $13,803.84	Facility		$3,388.44	$7,244.36	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $1,230.27	Professional		$707.95	$1,148.15	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $1,258.93	Professional		$537.03	$831.76	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $1,905.46	Professional		$588.84	$954.99	$1,905.46
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 $691.83 / $741.31 / $794.33	Professional		$691.83	$741.31	$794.33
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 $2,041.74 / $5,370.32 / $12,302.69	Facility		$2,041.74	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,258.93	Professional		$588.84	$794.33	$1,258.93