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 / $9,549.93	Facility		$1,148.15	$3,090.30	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,570.40	Professional		$1,174.90	$1,380.38	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $19,952.62 / $38,904.51	Facility		$7,413.10	$19,952.62	$38,904.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $2,630.27	Professional		$1,122.02	$1,819.70	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $5,495.41	Professional		$1,288.25	$2,089.30	$5,495.41
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 / $1,737.80	Professional		$1,513.56	$1,621.81	$1,737.80
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 $323.59 / $1,380.38 / $3,801.89	Facility		$323.59	$1,380.38	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,754.23	Professional		$1,258.93	$1,737.80	$2,754.23