Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,548.13 / $8,912.51	Facility		$1,023.29	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,621.81	Professional		$660.69	$812.83	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $15,135.61	Facility		$2,570.40	$3,235.94	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $1,412.54	Professional		$870.96	$1,288.25	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $1,412.54	Professional		$616.60	$977.24	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $3,019.95	Professional		$707.95	$1,122.02	$3,019.95
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 $812.83 / $870.96 / $933.25	Professional		$812.83	$870.96	$933.25
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 / $3,548.13 / $6,165.95	Facility		$1,288.25	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,513.56	Professional		$676.08	$891.25	$1,513.56