Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,548.13 / $8,912.51	Facility		$1,023.29	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,380.38	Professional		$588.84	$741.31	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $13,182.57	Facility		$3,090.30	$3,715.35	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,096.48	Professional		$707.95	$1,000.00	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,230.27	Professional		$575.44	$851.14	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,000.00 / $3,162.28	Professional		$524.81	$1,000.00	$3,162.28
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 $741.31 / $758.58 / $831.76	Professional		$741.31	$758.58	$831.76
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 $602.56 / $1,949.84 / $4,365.16	Facility		$602.56	$1,949.84	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,318.26	Professional		$537.03	$741.31	$1,318.26