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 $1,479.11 / $1,698.24 / $3,548.13	Professional		$1,479.11	$1,698.24	$3,548.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $34,673.69	Facility		$7,585.78	$9,120.11	$34,673.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,235.94	Professional		$1,862.09	$2,570.40	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,388.44	Professional		$1,479.11	$2,238.72	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $11,481.54	Professional		$1,659.59	$2,630.27	$11,481.54
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 $1,949.84 / $1,995.26 / $2,187.76	Professional		$1,949.84	$1,995.26	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,621.81	Professional		$32.36	$33.11	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,025.60 / $13,803.84	Facility		$1,584.89	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,388.44	Professional		$1,445.44	$1,995.26	$3,388.44