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 $1,348.96 / $1,737.80 / $3,162.28	Professional		$1,348.96	$1,737.80	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $20,417.38 / $38,904.51	Facility		$7,585.78	$20,417.38	$38,904.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $2,818.38	Professional		$1,862.09	$2,691.53	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $3,235.94	Professional		$1,380.38	$2,187.76	$3,235.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $6,456.54	Professional		$1,445.44	$2,454.71	$6,456.54
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 $1,659.59 / $1,905.46 / $2,137.96	Professional		$1,659.59	$1,905.46	$2,137.96
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 $1,513.56 / $1,949.84 / $3,311.31	Professional		$1,513.56	$1,949.84	$3,311.31