Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,715.35 / $9,772.37	Facility		$1,148.15	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $2,344.23	Professional		$1,000.00	$1,258.93	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,715.19 / $22,908.68	Facility		$5,623.41	$10,715.19	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,238.72	Professional		$1,412.54	$1,949.84	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $2,511.89	Professional		$1,071.52	$1,659.59	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $4,677.35	Professional		$1,122.02	$1,949.84	$4,677.35
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 $1,348.96 / $1,479.11 / $1,621.81	Professional		$1,348.96	$1,479.11	$1,621.81
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 $2,089.30 / $6,165.95 / $12,302.69	Facility		$2,089.30	$6,165.95	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,511.89	Professional		$1,174.90	$1,513.56	$2,511.89