Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,715.35 / $9,772.37	Facility		$1,230.27	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,630.27	Professional		$1,047.13	$1,258.93	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $10,964.78 / $26,915.35	Facility		$9,120.11	$10,964.78	$26,915.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $2,454.71	Professional		$1,318.26	$1,995.26	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $2,511.89	Professional		$1,174.90	$1,737.80	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $5,248.07	Professional		$1,288.25	$2,041.74	$5,248.07
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 / $1,698.24	Professional		$1,380.38	$1,513.56	$1,698.24
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 $1,862.09 / $5,370.32 / $12,302.69	Facility		$1,862.09	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,570.40	Professional		$1,122.02	$1,513.56	$2,570.40