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 $1,288.25 / $1,659.59 / $2,951.21	Professional		$1,288.25	$1,659.59	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $19,498.45 / $38,018.94	Facility		$7,244.36	$19,498.45	$38,018.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $2,754.23	Professional		$1,819.70	$2,511.89	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $3,090.30	Professional		$1,318.26	$2,137.96	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $6,025.60	Professional		$1,445.44	$2,398.83	$6,025.60
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 / $1,862.09 / $2,089.30	Professional		$1,659.59	$1,862.09	$2,089.30
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 $1,445.44 / $1,862.09 / $3,162.28	Professional		$1,445.44	$1,862.09	$3,162.28