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 $1,445.44 / $1,819.70 / $3,090.30	Professional		$1,445.44	$1,819.70	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $17,378.01 / $33,113.11	Facility		$6,456.54	$17,378.01	$33,113.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,290.87	Professional		$1,659.59	$1,995.26	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $3,019.95	Professional		$1,479.11	$2,089.30	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,187.76 / $6,918.31	Professional		$1,202.26	$2,187.76	$6,918.31
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 $1,445.44 / $1,737.80 / $1,949.84	Professional		$1,445.44	$1,737.80	$1,949.84
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 $1,513.56 / $2,089.30 / $3,388.44	Professional		$1,513.56	$2,089.30	$3,388.44