Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,365.16 / $8,912.51	Facility		$1,202.26	$4,365.16	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $6,025.60	Professional		$2,238.72	$2,754.23	$6,025.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $12,589.25 / $58,884.37	Facility		$9,332.54	$12,589.25	$58,884.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,466.84 / $5,495.41	Professional		$3,235.94	$4,466.84	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,801.89 / $5,248.07	Professional		$2,454.71	$3,801.89	$5,248.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $9,332.54	Professional		$2,884.03	$4,466.84	$9,332.54
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 $3,090.30 / $3,388.44 / $3,801.89	Professional		$3,090.30	$3,388.44	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,818.38	Professional		$32.36	$33.11	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,370.32 / $12,302.69	Facility		$1,862.09	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $5,495.41	Professional		$2,344.23	$3,162.28	$5,495.41