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 $512.86 / $630.96 / $1,258.93	Professional		$512.86	$630.96	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,244.36 / $11,481.54	Facility		$3,235.94	$7,244.36	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $1,258.93	Professional		$537.03	$851.14	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $2,511.89	Professional		$588.84	$954.99	$2,511.89
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 / $812.83	Professional		$691.83	$741.31	$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 $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $1,258.93	Professional		$575.44	$741.31	$1,258.93