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 $1,348.96 / $1,737.80 / $3,548.13	Professional		$1,348.96	$1,737.80	$3,548.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $21,877.62 / $42,657.95	Facility		$8,128.31	$21,877.62	$42,657.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $3,090.30	Professional		$1,862.09	$2,818.38	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $3,548.13	Professional		$1,479.11	$2,454.71	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $6,456.54	Professional		$1,621.81	$2,691.53	$6,456.54
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 $1,737.80 / $2,089.30 / $2,454.71	Professional		$1,737.80	$2,089.30	$2,454.71
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 $1,621.81 / $2,187.76 / $3,630.78	Professional		$1,621.81	$2,187.76	$3,630.78