Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,548.13 / $8,511.38	Facility		$1,148.15	$3,548.13	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $4,365.16	Professional		$1,862.09	$2,290.87	$4,365.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $21,379.62 / $41,686.94	Facility		$7,943.28	$21,379.62	$41,686.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $3,388.44	Professional		$2,290.87	$2,691.53	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $4,466.84	Professional		$1,949.84	$2,818.38	$4,466.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $16,218.10	Professional		$1,819.70	$3,090.30	$16,218.10
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 $2,041.74 / $2,344.23 / $2,630.27	Professional		$2,041.74	$2,344.23	$2,630.27
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 $1,905.46 / $2,691.53 / $4,265.80	Professional		$1,905.46	$2,691.53	$4,265.80