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 $1,380.38 / $1,737.80 / $3,090.30	Professional		$1,380.38	$1,737.80	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $16,595.87 / $31,622.78	Facility		$6,165.95	$16,595.87	$31,622.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,398.83	Professional		$1,737.80	$2,089.30	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,019.95	Professional		$1,513.56	$2,089.30	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $6,760.83	Professional		$1,380.38	$2,290.87	$6,760.83
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 $1,513.56 / $1,819.70 / $2,041.74	Professional		$1,513.56	$1,819.70	$2,041.74
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 $1,479.11 / $2,137.96 / $3,235.94	Professional		$1,479.11	$2,137.96	$3,235.94