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 $1,047.13 / $1,318.26 / $2,630.27	Professional		$1,047.13	$1,318.26	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $10,964.78 / $26,302.68	Facility		$9,120.11	$10,964.78	$26,302.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,398.83	Professional		$1,445.44	$1,995.26	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,454.71	Professional		$1,122.02	$1,698.24	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $6,760.83	Professional		$1,258.93	$2,041.74	$6,760.83
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 $1,380.38 / $1,513.56 / $1,659.59	Professional		$1,380.38	$1,513.56	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,258.93	Professional		$32.36	$33.11	$1,258.93
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 $1,096.48 / $1,445.44 / $2,454.71	Professional		$1,096.48	$1,445.44	$2,454.71