Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,466.84 / $8,912.51	Facility		$1,202.26	$4,466.84	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $6,165.95	Professional		$2,454.71	$3,090.30	$6,165.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $12,589.25 / $63,095.73	Facility		$9,332.54	$12,589.25	$63,095.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,073.80 / $5,888.44	Professional		$2,691.53	$4,073.80	$5,888.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,897.79 / $14,454.40	Professional		$3,090.30	$4,897.79	$14,454.40
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 $3,311.31 / $3,630.78 / $4,073.80	Professional		$3,311.31	$3,630.78	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,019.95	Professional		$32.36	$33.11	$3,019.95
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 $2,570.40 / $3,467.37 / $6,025.60	Professional		$2,570.40	$3,467.37	$6,025.60