Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,570.40 / $7,762.47	Facility		$1,023.29	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,348.96	Professional		$616.60	$776.25	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $9,332.54 / $17,782.79	Facility		$3,467.37	$9,332.54	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,380.38	Professional		$870.96	$1,174.90	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,513.56	Professional		$660.69	$1,023.29	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $3,467.37	Professional		$691.83	$1,174.90	$3,467.37
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 $831.76 / $912.01 / $1,000.00	Professional		$831.76	$912.01	$1,000.00
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 $707.95 / $912.01 / $1,548.82	Professional		$707.95	$912.01	$1,548.82