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 $1,230.27 / $1,584.89 / $2,884.03	Professional		$1,230.27	$1,584.89	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $18,197.01 / $35,481.34	Facility		$6,760.83	$18,197.01	$35,481.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $2,570.40	Professional		$1,659.59	$2,398.83	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $2,951.21	Professional		$1,258.93	$1,995.26	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $5,888.44	Professional		$1,318.26	$2,238.72	$5,888.44
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 $1,479.11 / $1,698.24 / $1,905.46	Professional		$1,479.11	$1,698.24	$1,905.46
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 $1,380.38 / $1,819.70 / $3,019.95	Professional		$1,380.38	$1,819.70	$3,019.95