Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,548.13 / $8,912.51	Facility		$1,071.52	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,621.81	Professional		$691.83	$891.25	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $15,848.93	Facility		$2,951.21	$3,548.13	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,318.26	Professional		$851.14	$1,202.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,479.11	Professional		$724.44	$1,023.29	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,122.02 / $3,630.78	Professional		$602.56	$1,122.02	$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 $891.25 / $912.01 / $977.24	Professional		$891.25	$912.01	$977.24
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 $1,174.90 / $3,548.13 / $6,165.95	Facility		$1,174.90	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,513.56	Professional		$691.83	$870.96	$1,513.56