Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,548.13 / $8,912.51	Facility		$1,202.26	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,951.21	Professional		$1,202.26	$1,445.44	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $28,840.32	Facility		$7,585.78	$9,120.11	$28,840.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $2,630.27	Professional		$1,548.82	$2,137.96	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $2,754.23	Professional		$1,230.27	$1,862.09	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $6,025.60	Professional		$1,380.38	$2,187.76	$6,025.60
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 $1,584.89 / $1,659.59 / $1,778.28	Professional		$1,584.89	$1,659.59	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,348.96	Professional		$32.36	$33.11	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,818.38	Professional		$1,230.27	$1,659.59	$2,818.38