Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $8,511.38	Facility		$1,148.15	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,398.83	Professional		$1,047.13	$1,348.96	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $15,488.17 / $30,199.52	Facility		$5,754.40	$15,488.17	$30,199.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $2,187.76	Professional		$1,445.44	$2,041.74	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,511.89	Professional		$1,071.52	$1,698.24	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $5,011.87	Professional		$1,122.02	$1,905.46	$5,011.87
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 $1,288.25 / $1,479.11 / $1,659.59	Professional		$1,288.25	$1,479.11	$1,659.59
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,570.40	Professional		$1,148.15	$1,479.11	$2,570.40