Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,891.54 / $1,891.54 / $2,298.46	Facility		$1,891.54	$1,891.54	$2,298.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.03 / $1,891.54 / $2,416.54	Professional		$1,500.03	$1,891.54	$2,416.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,323.81 / $11,387.84 / $22,804.14	Facility		$5,323.81	$11,387.84	$22,804.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,196.81 / $1,432.26 / $1,792.49	Professional		$1,196.81	$1,432.26	$1,792.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,893.70 / $1,893.70 / $1,893.70	Professional		$1,893.70	$1,893.70	$1,893.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.24 / $1,651.11 / $4,044.84	Professional		$1,008.24	$1,651.11	$4,044.84
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 $1,039.06 / $1,250.21 / $1,402.91	Professional		$1,039.06	$1,250.21	$1,402.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,586.37	Professional		$32.34	$32.34	$1,586.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,013.04 / $1,500.11 / $2,437.37	Professional		$1,013.04	$1,500.11	$2,437.37