Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,073.80 / $9,772.37	Facility		$1,122.02	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,513.56	Professional		$676.08	$851.14	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,715.19 / $15,488.17	Facility		$4,570.88	$10,715.19	$15,488.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,621.81	Professional		$724.44	$1,148.15	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $3,630.78	Professional		$794.33	$1,288.25	$3,630.78
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 $933.25 / $1,000.00 / $1,096.48	Professional		$933.25	$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 $1,698.24 / $5,623.41 / $9,772.37	Facility		$1,698.24	$5,623.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,698.24	Professional		$758.58	$1,000.00	$1,698.24