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 $1,174.90 / $1,513.56 / $3,019.95	Professional		$1,174.90	$1,513.56	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $20,417.38	Facility		$5,011.87	$8,511.38	$20,417.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,511.89	Professional		$1,412.54	$2,041.74	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $2,884.03	Professional		$1,258.93	$1,949.84	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $5,888.44	Professional		$1,412.54	$2,187.76	$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 $1,445.44 / $1,513.56 / $1,995.26	Professional		$1,445.44	$1,513.56	$1,995.26
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 $1,318.26 / $1,778.28 / $3,019.95	Professional		$1,318.26	$1,778.28	$3,019.95