Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,951.21 / $3,467.37	Facility		$1,288.25	$2,951.21	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $3,388.44	Professional		$1,288.25	$1,737.80	$3,388.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,754.40 / $64,565.42	Facility		$4,265.80	$5,754.40	$64,565.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,495.41 / $5,754.40	Professional		$4,786.30	$5,495.41	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $3,467.37	Professional		$1,445.44	$2,137.96	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $7,413.10	Professional		$1,659.59	$2,630.27	$7,413.10
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 $1,584.89 / $1,659.59 / $2,290.87	Professional		$1,584.89	$1,659.59	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,905.46	Professional		$32.36	$33.11	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,302.69	Facility		$2,137.96	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,311.31	Professional		$1,445.44	$2,041.74	$3,311.31