Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,311.31 / $8,511.38	Facility		$1,148.15	$3,311.31	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $5,623.41	Professional		$1,778.28	$2,137.96	$5,623.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $20,417.38 / $38,904.51	Facility		$7,413.10	$20,417.38	$38,904.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,951.21	Professional		$2,137.96	$2,511.89	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $3,630.78	Professional		$1,862.09	$2,691.53	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,951.21 / $11,220.18	Professional		$1,621.81	$2,951.21	$11,220.18
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 $1,905.46 / $2,238.72 / $2,511.89	Professional		$1,905.46	$2,238.72	$2,511.89
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 $1,819.70 / $2,511.89 / $3,981.07	Professional		$1,819.70	$2,511.89	$3,981.07