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 / $1,778.28 / $4,365.16	Professional		$1,479.11	$1,778.28	$4,365.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $10,232.93 / $74,131.02	Facility		$7,585.78	$10,232.93	$74,131.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $3,467.37	Professional		$1,513.56	$2,290.87	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $11,748.98	Professional		$1,737.80	$2,818.38	$11,748.98
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 $2,041.74 / $2,089.30 / $2,290.87	Professional		$2,041.74	$2,089.30	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,737.80	Professional		$32.36	$33.11	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $13,803.84	Facility		$1,659.59	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,548.13	Professional		$1,513.56	$1,995.26	$3,548.13