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 $1,047.13 / $1,258.93 / $2,344.23	Professional		$1,047.13	$1,258.93	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $12,022.64 / $22,908.68	Facility		$4,466.84	$12,022.64	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,778.28	Professional		$1,258.93	$1,513.56	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,290.87	Professional		$1,122.02	$1,584.89	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $5,248.07	Professional		$1,023.29	$1,698.24	$5,248.07
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 $1,122.02 / $1,318.26 / $1,479.11	Professional		$1,122.02	$1,318.26	$1,479.11
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 $1,071.52 / $1,584.89 / $2,454.71	Professional		$1,071.52	$1,584.89	$2,454.71