Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,162.28 / $8,511.38	Facility		$1,148.15	$3,162.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,548.13	Professional		$1,513.56	$1,949.84	$3,548.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $22,908.68 / $43,651.58	Facility		$8,511.38	$22,908.68	$43,651.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,235.94	Professional		$1,862.09	$2,570.40	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $3,630.78	Professional		$1,548.82	$2,454.71	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,754.23 / $7,244.36	Professional		$1,621.81	$2,754.23	$7,244.36
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 $1,819.70 / $2,137.96 / $2,398.83	Professional		$1,819.70	$2,137.96	$2,398.83
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 $1,737.80 / $2,238.72 / $3,715.35	Professional		$1,737.80	$2,238.72	$3,715.35