Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,715.35 / $8,511.38	Facility		$1,148.15	$3,715.35	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $3,715.35	Professional		$1,584.89	$1,949.84	$3,715.35
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 $1,949.84 / $2,290.87 / $2,691.53	Professional		$1,949.84	$2,290.87	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $3,981.07	Professional		$1,698.24	$2,570.40	$3,981.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,691.53 / $9,120.11	Professional		$1,479.11	$2,691.53	$9,120.11
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 $1,737.80 / $1,995.26 / $2,238.72	Professional		$1,737.80	$1,995.26	$2,238.72
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 $1,659.59 / $2,754.23 / $3,981.07	Professional		$1,659.59	$2,754.23	$3,981.07