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 $1,096.48 / $1,318.26 / $2,238.72	Professional		$1,096.48	$1,318.26	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $12,589.25 / $23,988.33	Facility		$4,677.35	$12,589.25	$23,988.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $1,819.70	Professional		$1,318.26	$1,584.89	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,238.72	Professional		$1,148.15	$1,621.81	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $5,011.87	Professional		$1,047.13	$1,737.80	$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 $1,202.26 / $1,380.38 / $1,548.82	Professional		$1,202.26	$1,380.38	$1,548.82
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 $1,096.48 / $1,513.56 / $2,454.71	Professional		$1,096.48	$1,513.56	$2,454.71