Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $8,511.38	Facility		$1,148.15	$3,235.94	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $4,073.80	Professional		$1,412.54	$1,819.70	$4,073.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $23,442.29 / $44,668.36	Facility		$8,709.64	$23,442.29	$44,668.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $3,311.31	Professional		$2,290.87	$2,951.21	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $3,548.13	Professional		$1,445.44	$2,398.83	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,951.21 / $6,760.83	Professional		$1,819.70	$2,951.21	$6,760.83
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 $1,862.09 / $2,238.72 / $2,570.40	Professional		$1,862.09	$2,238.72	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $398.11	Professional		$32.36	$32.36	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,951.21 / $7,413.10	Facility		$616.60	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $3,630.78	Professional		$1,548.82	$2,089.30	$3,630.78