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 $1,202.26 / $1,513.56 / $2,754.23	Professional		$1,202.26	$1,513.56	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $14,454.40 / $28,183.83	Facility		$5,370.32	$14,454.40	$28,183.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,137.96	Professional		$1,513.56	$1,819.70	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,630.27	Professional		$1,348.96	$1,905.46	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $6,918.31	Professional		$1,122.02	$2,137.96	$6,918.31
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 $1,348.96 / $1,584.89 / $1,778.28	Professional		$1,348.96	$1,584.89	$1,778.28
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 $1,288.25 / $1,819.70 / $2,884.03	Professional		$1,288.25	$1,819.70	$2,884.03