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 $1,202.26 / $1,445.44 / $2,754.23	Professional		$1,202.26	$1,445.44	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $20,417.38 / $38,904.51	Facility		$7,585.78	$20,417.38	$38,904.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $2,691.53	Professional		$1,548.82	$2,511.89	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $2,691.53	Professional		$1,148.15	$1,819.70	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $5,623.41	Professional		$1,318.26	$2,089.30	$5,623.41
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 $1,513.56 / $1,621.81 / $1,778.28	Professional		$1,513.56	$1,621.81	$1,778.28
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 $1,288.25 / $1,778.28 / $2,818.38	Professional		$1,288.25	$1,778.28	$2,818.38