Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,073.80 / $9,772.37	Facility		$1,023.29	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,348.96	Professional		$501.19	$660.69	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,128.61 / $13,182.57	Facility		$3,235.94	$5,128.61	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,174.90	Professional		$741.31	$1,096.48	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $1,174.90	Professional		$501.19	$812.83	$1,174.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $2,754.23	Professional		$562.34	$933.25	$2,754.23
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 $645.65 / $724.44 / $812.83	Professional		$645.65	$724.44	$812.83
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 $1,698.24 / $4,365.16 / $9,332.54	Facility		$1,698.24	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,258.93	Professional		$549.54	$691.83	$1,258.93