Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,073.80 / $9,772.37	Facility		$1,258.93	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,818.38	Professional		$1,096.48	$1,380.38	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $23,988.33	Facility		$5,011.87	$6,165.95	$23,988.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $1,995.26	Professional		$1,288.25	$1,819.70	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $5,495.41	Professional		$4,570.88	$4,570.88	$5,495.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $3,090.30	Professional		$1,023.29	$1,862.09	$3,090.30
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 / $1,380.38 / $1,513.56	Professional		$1,348.96	$1,380.38	$1,513.56
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 $1,698.24 / $4,365.16 / $9,332.54	Facility		$1,698.24	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $2,344.23	Professional		$1,071.52	$1,348.96	$2,344.23