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 / $1,905.46 / $3,548.13	Professional		$1,584.89	$1,905.46	$3,548.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $18,197.01 / $34,673.69	Facility		$6,760.83	$18,197.01	$34,673.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,019.95	Professional		$1,905.46	$2,238.72	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,801.89	Professional		$1,698.24	$2,398.83	$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 / $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 $1,621.81 / $2,290.87 / $3,630.78	Professional		$1,621.81	$2,290.87	$3,630.78