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 $1,000.00 / $1,202.26 / $2,290.87	Professional		$1,000.00	$1,202.26	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $16,982.44	Facility		$3,890.45	$4,786.30	$16,982.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,659.59	Professional		$1,071.52	$1,445.44	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,344.23	Professional		$1,047.13	$1,513.56	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $5,011.87	Professional		$954.99	$1,584.89	$5,011.87
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 $1,047.13 / $1,258.93 / $1,412.54	Professional		$1,047.13	$1,258.93	$1,412.54
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 $1,698.24 / $4,365.16 / $8,912.51	Facility		$1,698.24	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,238.72	Professional		$1,000.00	$1,479.11	$2,238.72