Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,630.78 / $8,912.51	Facility		$1,202.26	$3,630.78	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $4,466.84	Professional		$1,737.80	$2,137.96	$4,466.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,549.93 / $42,657.95	Facility		$7,585.78	$9,549.93	$42,657.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $3,162.28	Professional		$2,290.87	$3,162.28	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $4,073.80	Professional		$1,905.46	$2,754.23	$4,073.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,311.31 / $9,549.93	Professional		$2,089.30	$3,311.31	$9,549.93
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 $2,290.87 / $2,454.71 / $2,691.53	Professional		$2,290.87	$2,454.71	$2,691.53
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 $1,905.46 / $6,025.60 / $13,803.84	Facility		$1,905.46	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $4,073.80	Professional		$1,819.70	$2,511.89	$4,073.80