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 $1,071.52 / $1,258.93 / $2,187.76	Professional		$1,071.52	$1,258.93	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $16,218.10 / $30,902.95	Facility		$6,025.60	$16,218.10	$30,902.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,238.72	Professional		$1,380.38	$2,041.74	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $2,290.87	Professional		$954.99	$1,548.82	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $4,786.30	Professional		$1,122.02	$1,778.28	$4,786.30
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 $1,288.25 / $1,380.38 / $1,513.56	Professional		$1,288.25	$1,380.38	$1,513.56
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 $1,096.48 / $1,412.54 / $2,398.83	Professional		$1,096.48	$1,412.54	$2,398.83