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 $1,258.93 / $1,621.81 / $3,090.30	Professional		$1,258.93	$1,621.81	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,606.93 / $29,512.09	Facility		$5,011.87	$6,606.93	$29,512.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $2,398.83	Professional		$1,548.82	$2,187.76	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,630.27	Professional		$1,288.25	$1,778.28	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,041.74 / $5,888.44	Professional		$1,096.48	$2,041.74	$5,888.44
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 $1,621.81 / $1,659.59 / $1,778.28	Professional		$1,621.81	$1,659.59	$1,778.28
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 $1,584.89 / $4,365.16 / $9,332.54	Facility		$1,584.89	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,630.27	Professional		$1,148.15	$1,548.82	$2,630.27