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 $1,412.54 / $1,659.59 / $3,467.37	Professional		$1,412.54	$1,659.59	$3,467.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $33,884.42	Facility		$7,585.78	$9,120.11	$33,884.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,511.89	Professional		$1,819.70	$1,819.70	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $3,311.31	Professional		$1,513.56	$2,187.76	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $8,128.31	Professional		$1,659.59	$2,630.27	$8,128.31
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 $1,905.46 / $1,949.84 / $2,137.96	Professional		$1,905.46	$1,949.84	$2,137.96
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 $1,548.82 / $6,025.60 / $13,803.84	Facility		$1,548.82	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,388.44	Professional		$1,445.44	$1,949.84	$3,388.44