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 $1,445.44 / $1,862.09 / $4,168.69	Professional		$1,445.44	$1,862.09	$4,168.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $38,018.94	Facility		$7,585.78	$9,120.11	$38,018.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $3,019.95	Professional		$2,041.74	$2,818.38	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,398.83 / $3,548.13	Professional		$1,548.82	$2,398.83	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $13,182.57	Professional		$1,819.70	$2,884.03	$13,182.57
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 $1,995.26 / $2,137.96 / $2,398.83	Professional		$1,995.26	$2,137.96	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,737.80	Professional		$32.36	$33.11	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $13,803.84	Facility		$1,659.59	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,548.13	Professional		$1,513.56	$1,995.26	$3,548.13