Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,235.94 / $9,549.93	Facility		$1,230.27	$3,235.94	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,951.21	Professional		$1,122.02	$1,513.56	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $19,952.62	Facility		$5,011.87	$8,511.38	$19,952.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,570.40	Professional		$1,380.38	$1,737.80	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $2,818.38	Professional		$1,148.15	$1,862.09	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $5,370.32	Professional		$1,288.25	$2,187.76	$5,370.32
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 $1,380.38 / $1,479.11 / $2,089.30	Professional		$1,380.38	$1,479.11	$2,089.30
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 $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $3,019.95	Professional		$1,230.27	$1,698.24	$3,019.95