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 $1,071.52 / $1,288.25 / $2,754.23	Professional		$1,071.52	$1,288.25	$2,754.23
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 $1,479.11 / $2,041.74 / $2,511.89	Professional		$1,479.11	$2,041.74	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $2,570.40	Professional		$1,148.15	$1,737.80	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $5,370.32	Professional		$1,318.26	$2,089.30	$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 $1,445.44 / $1,548.82 / $1,737.80	Professional		$1,445.44	$1,548.82	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,318.26	Professional		$32.36	$33.11	$1,318.26
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 $1,122.02 / $1,479.11 / $2,570.40	Professional		$1,122.02	$1,479.11	$2,570.40