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 $1,174.90 / $1,513.56 / $3,311.31	Professional		$1,174.90	$1,513.56	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,709.64 / $26,915.35	Facility		$6,606.93	$8,709.64	$26,915.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $2,454.71	Professional		$1,584.89	$2,290.87	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $2,691.53	Professional		$1,000.00	$1,819.70	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $4,897.79	Professional		$1,202.26	$2,089.30	$4,897.79
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 $1,584.89 / $1,621.81 / $1,819.70	Professional		$1,584.89	$1,621.81	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,754.23	Professional		$1,230.27	$1,584.89	$2,754.23