Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,715.35 / $11,481.54	Facility		$1,230.27	$3,715.35	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,454.71	Professional		$1,000.00	$1,230.27	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $17,378.01	Facility		$3,890.45	$4,786.30	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,698.24	Professional		$1,202.26	$1,445.44	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,238.72	Professional		$1,071.52	$1,548.82	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $5,754.40	Professional		$977.24	$1,621.81	$5,754.40
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 $1,071.52 / $1,258.93 / $1,412.54	Professional		$1,071.52	$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 $1,023.29 / $1,513.56 / $2,290.87	Professional		$1,023.29	$1,513.56	$2,290.87