Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,454.71 / $7,762.47	Facility		$812.83	$2,454.71	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $3,019.95	Professional		$1,096.48	$1,445.44	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $13,182.57 / $28,183.83	Facility		$10,715.19	$13,182.57	$28,183.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $2,454.71	Professional		$1,445.44	$2,137.96	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $2,691.53	Professional		$1,202.26	$1,905.46	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $7,943.28	Professional		$1,412.54	$2,238.72	$7,943.28
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 $1,513.56 / $1,659.59 / $1,862.09	Professional		$1,513.56	$1,659.59	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $257.04	Professional		$32.36	$32.36	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,882.50	Facility		$2,137.96	$5,370.32	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,691.53	Professional		$1,148.15	$1,621.81	$2,691.53