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 $1,584.89 / $1,949.84 / $3,388.44	Professional		$1,584.89	$1,949.84	$3,388.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $18,620.87 / $35,481.34	Facility		$6,918.31	$18,620.87	$35,481.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $2,691.53	Professional		$1,949.84	$2,344.23	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $3,801.89	Professional		$1,698.24	$2,454.71	$3,801.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,630.27 / $7,413.10	Professional		$1,548.82	$2,630.27	$7,413.10
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 / $2,041.74 / $2,290.87	Professional		$1,737.80	$2,041.74	$2,290.87
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 / $2,344.23 / $3,630.78	Professional		$1,659.59	$2,344.23	$3,630.78