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 / $794.33 / $1,995.26	Professional		$616.60	$794.33	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,715.19 / $15,135.61	Facility		$4,570.88	$10,715.19	$15,135.61
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 / $1,047.13 / $1,548.82	Professional		$660.69	$1,047.13	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $3,090.30	Professional		$691.83	$1,174.90	$3,090.30
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 $1,698.24 / $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 $724.44 / $933.25 / $1,548.82	Professional		$724.44	$933.25	$1,548.82