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 $1,148.15 / $1,348.96 / $2,454.71	Professional		$1,148.15	$1,348.96	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $19,498.45 / $37,153.52	Facility		$7,244.36	$19,498.45	$37,153.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $2,570.40	Professional		$1,096.48	$1,737.80	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $5,370.32	Professional		$1,258.93	$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 / $1,548.82 / $1,698.24	Professional		$1,445.44	$1,548.82	$1,698.24
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 $1,230.27 / $1,659.59 / $2,691.53	Professional		$1,230.27	$1,659.59	$2,691.53