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 $1,096.48 / $1,380.38 / $2,884.03	Professional		$1,096.48	$1,380.38	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $10,964.78 / $28,840.32	Facility		$9,120.11	$10,964.78	$28,840.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,691.53	Professional		$1,584.89	$2,187.76	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $2,691.53	Professional		$1,174.90	$1,778.28	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $5,370.32	Professional		$1,412.54	$2,238.72	$5,370.32
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 $1,548.82 / $1,659.59 / $1,862.09	Professional		$1,548.82	$1,659.59	$1,862.09
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 $1,778.28 / $7,244.36 / $16,982.44	Facility		$1,778.28	$7,244.36	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,570.40	Professional		$1,148.15	$1,548.82	$2,570.40