Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,548.13 / $10,000.00	Facility		$1,258.93	$3,548.13	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $3,162.28	Professional		$1,174.90	$1,445.44	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $10,232.93 / $114,815.36	Facility		$7,585.78	$10,232.93	$114,815.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $2,818.38	Professional		$1,230.27	$1,905.46	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $9,772.37	Professional		$1,445.44	$2,290.87	$9,772.37
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 / $1,698.24 / $1,862.09	Professional		$1,621.81	$1,698.24	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,380.38	Professional		$32.36	$33.11	$1,380.38
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 / $1,659.59 / $2,884.03	Professional		$1,230.27	$1,659.59	$2,884.03