Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,168.69 / $9,772.37	Facility		$1,258.93	$4,168.69	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $5,495.41	Professional		$1,949.84	$2,398.83	$5,495.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $10,232.93 / $48,977.88	Facility		$7,585.78	$10,232.93	$48,977.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $4,466.84	Professional		$2,398.83	$3,162.28	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $4,677.35	Professional		$2,089.30	$3,090.30	$4,677.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $16,595.87	Professional		$2,344.23	$3,801.89	$16,595.87
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 $2,570.40 / $2,818.38 / $3,090.30	Professional		$2,570.40	$2,818.38	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,238.72	Professional		$32.36	$33.11	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,302.69	Facility		$2,137.96	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $4,677.35	Professional		$1,995.26	$2,691.53	$4,677.35