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 $1,096.48 / $1,412.54 / $2,818.38	Professional		$1,096.48	$1,412.54	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $17,782.79 / $34,673.69	Facility		$6,606.93	$17,782.79	$34,673.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,511.89	Professional		$1,513.56	$1,995.26	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $2,884.03	Professional		$1,148.15	$1,995.26	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $6,025.60	Professional		$1,318.26	$2,187.76	$6,025.60
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 $1,412.54 / $1,698.24 / $1,995.26	Professional		$1,412.54	$1,698.24	$1,995.26
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 $1,318.26 / $1,737.80 / $2,951.21	Professional		$1,318.26	$1,737.80	$2,951.21