Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,570.40 / $7,762.47	Facility		$1,174.90	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,818.38	Professional		$1,023.29	$1,258.93	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $23,442.29	Facility		$5,754.40	$7,413.10	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,290.87	Professional		$1,445.44	$1,949.84	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,511.89	Professional		$1,096.48	$1,698.24	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $4,897.79	Professional		$1,202.26	$1,949.84	$4,897.79
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 $1,380.38 / $1,479.11 / $1,659.59	Professional		$1,380.38	$1,479.11	$1,659.59
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 / $4,073.80 / $7,585.78	Facility		$1,288.25	$4,073.80	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,570.40	Professional		$1,174.90	$1,513.56	$2,570.40