Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,548.13 / $8,912.51	Facility		$1,202.26	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $4,365.16	Professional		$1,348.96	$1,778.28	$4,365.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $10,232.93 / $141,253.75	Facility		$7,585.78	$10,232.93	$141,253.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Professional		$10,471.29	$10,471.29	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $3,162.28	Professional		$1,412.54	$2,137.96	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $12,882.50	Professional		$1,621.81	$2,570.40	$12,882.50
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 $1,862.09 / $1,905.46 / $2,089.30	Professional		$1,862.09	$1,905.46	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,584.89	Professional		$32.36	$33.11	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $6,025.60 / $13,803.84	Facility		$1,513.56	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $3,235.94	Professional		$1,380.38	$1,819.70	$3,235.94