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 $1,258.93 / $1,584.89 / $2,754.23	Professional		$1,258.93	$1,584.89	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $14,791.08 / $28,840.32	Facility		$5,495.41	$14,791.08	$28,840.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $2,041.74	Professional		$1,479.11	$1,778.28	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,630.27	Professional		$1,288.25	$1,862.09	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $6,025.60	Professional		$1,174.90	$1,949.84	$6,025.60
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 $1,288.25 / $1,548.82 / $1,737.80	Professional		$1,288.25	$1,548.82	$1,737.80
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 $1,318.26 / $1,819.70 / $2,884.03	Professional		$1,318.26	$1,819.70	$2,884.03