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 / $2,691.53	Professional		$1,202.26	$1,513.56	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $14,454.40 / $27,542.29	Facility		$5,370.32	$14,454.40	$27,542.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,511.89	Professional		$1,513.56	$1,819.70	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $2,630.27	Professional		$1,230.27	$1,905.46	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $5,888.44	Professional		$1,122.02	$1,949.84	$5,888.44
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 $1,318.26 / $1,584.89 / $1,778.28	Professional		$1,318.26	$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 $1,230.27 / $1,778.28 / $2,818.38	Professional		$1,230.27	$1,778.28	$2,818.38