Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,388.44 / $8,511.38	Facility		$1,148.15	$3,388.44	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $3,801.89	Professional		$1,659.59	$2,041.74	$3,801.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $19,054.61 / $37,153.52	Facility		$7,079.46	$19,054.61	$37,153.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $2,818.38	Professional		$1,995.26	$2,398.83	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $3,715.35	Professional		$1,778.28	$2,570.40	$3,715.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $8,317.64	Professional		$1,621.81	$2,691.53	$8,317.64
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 $1,778.28 / $2,089.30 / $2,344.23	Professional		$1,778.28	$2,089.30	$2,344.23
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 $1,698.24 / $2,511.89 / $3,801.89	Professional		$1,698.24	$2,511.89	$3,801.89