Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,265.80 / $14,125.38	Facility		$1,230.27	$4,265.80	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,754.23	Professional		$1,122.02	$1,380.38	$2,754.23
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 $1,479.11 / $2,398.83 / $2,570.40	Professional		$1,479.11	$2,398.83	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,511.89	Professional		$1,071.52	$1,737.80	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $5,370.32	Professional		$1,202.26	$1,995.26	$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 $1,445.44 / $1,513.56 / $1,659.59	Professional		$1,445.44	$1,513.56	$1,659.59
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 / $1,659.59 / $2,630.27	Professional		$1,202.26	$1,659.59	$2,630.27