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 $794.33 / $977.24 / $1,949.84	Professional		$794.33	$977.24	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $11,748.98 / $22,908.68	Facility		$4,365.16	$11,748.98	$22,908.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $1,905.46	Professional		$831.76	$1,318.26	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $5,011.87	Professional		$912.01	$1,513.56	$5,011.87
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 $1,047.13 / $1,148.15 / $1,258.93	Professional		$1,047.13	$1,148.15	$1,258.93
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 $1,584.89 / $4,265.80 / $8,128.31	Facility		$1,584.89	$4,265.80	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,995.26	Professional		$891.25	$1,174.90	$1,995.26