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 $1,288.25 / $1,548.82 / $2,884.03	Professional		$1,288.25	$1,548.82	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $23,442.29 / $45,708.82	Facility		$8,709.64	$23,442.29	$45,708.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $3,019.95	Professional		$1,258.93	$2,041.74	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $5,754.40	Professional		$1,412.54	$2,344.23	$5,754.40
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 $1,584.89 / $1,819.70 / $2,041.74	Professional		$1,584.89	$1,819.70	$2,041.74
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 $1,412.54 / $1,862.09 / $3,162.28	Professional		$1,412.54	$1,862.09	$3,162.28