Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,715.35 / $9,772.37	Facility		$1,258.93	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $3,311.31	Professional		$1,288.25	$1,584.89	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $33,884.42	Facility		$7,585.78	$9,120.11	$33,884.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,090.30	Professional		$1,819.70	$2,511.89	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $3,162.28	Professional		$1,380.38	$2,137.96	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $12,022.64	Professional		$1,621.81	$2,570.40	$12,022.64
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 $1,778.28 / $1,905.46 / $2,137.96	Professional		$1,778.28	$1,905.46	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,548.82	Professional		$32.36	$33.11	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,025.60 / $13,803.84	Facility		$1,479.11	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,162.28	Professional		$1,348.96	$1,819.70	$3,162.28