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 $1,122.02 / $1,318.26 / $2,398.83	Professional		$1,122.02	$1,318.26	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $19,054.61 / $37,153.52	Facility		$7,079.46	$19,054.61	$37,153.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $2,511.89	Professional		$1,445.44	$2,290.87	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,511.89	Professional		$1,047.13	$1,698.24	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $5,248.07	Professional		$1,202.26	$1,949.84	$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 $1,412.54 / $1,479.11 / $1,621.81	Professional		$1,412.54	$1,479.11	$1,621.81
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 $1,202.26 / $1,621.81 / $2,630.27	Professional		$1,202.26	$1,621.81	$2,630.27