Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,466.84 / $14,125.38	Facility		$1,148.15	$4,466.84	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,511.89	Professional		$1,122.02	$1,348.96	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,709.64 / $23,988.33	Facility		$5,888.44	$8,709.64	$23,988.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,019.95	Professional		$1,479.11	$1,995.26	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,819.70 / $2,754.23	Professional		$977.24	$1,819.70	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $5,495.41	Professional		$1,288.25	$2,041.74	$5,495.41
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 / $1,584.89 / $1,737.80	Professional		$1,513.56	$1,584.89	$1,737.80
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 $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,630.27	Professional		$1,230.27	$1,621.81	$2,630.27