Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $7,762.47	Facility		$1,202.26	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $3,019.95	Professional		$1,174.90	$1,479.11	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $10,964.78 / $30,902.95	Facility		$9,120.11	$10,964.78	$30,902.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,818.38	Professional		$1,659.59	$2,290.87	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $2,884.03	Professional		$1,318.26	$1,949.84	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $7,585.78	Professional		$1,479.11	$2,344.23	$7,585.78
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 $1,621.81 / $1,737.80 / $1,949.84	Professional		$1,621.81	$1,737.80	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,479.11	Professional		$32.36	$33.11	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,495.41 / $9,772.37	Facility		$1,778.28	$5,495.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,818.38	Professional		$1,258.93	$1,659.59	$2,818.38