Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,548.13 / $8,912.51	Facility		$1,174.90	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $2,290.87	Professional		$1,047.13	$1,288.25	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,495.41 / $23,442.29	Facility		$4,365.16	$5,495.41	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,187.76	Professional		$977.24	$1,513.56	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $5,888.44	Professional		$1,071.52	$1,737.80	$5,888.44
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 $1,258.93 / $1,318.26 / $1,445.44	Professional		$1,258.93	$1,318.26	$1,445.44
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 $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,290.87	Professional		$1,071.52	$1,380.38	$2,290.87