Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,890.45 / $11,481.54	Facility		$1,258.93	$3,890.45	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,691.53	Professional		$1,202.26	$1,513.56	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,897.79 / $21,379.62	Facility		$3,890.45	$4,897.79	$21,379.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,137.96	Professional		$1,513.56	$1,778.28	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,570.40	Professional		$1,348.96	$1,905.46	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $6,606.93	Professional		$1,174.90	$1,995.26	$6,606.93
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 / $1,584.89 / $1,737.80	Professional		$1,445.44	$1,584.89	$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 $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 $1,318.26 / $1,737.80 / $2,818.38	Professional		$1,318.26	$1,737.80	$2,818.38