Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,801.89 / $8,912.51	Facility		$1,202.26	$3,801.89	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $4,466.84	Professional		$1,698.24	$2,187.76	$4,466.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $10,000.00 / $44,668.36	Facility		$7,585.78	$10,000.00	$44,668.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $4,168.69	Professional		$2,454.71	$3,388.44	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $4,168.69	Professional		$1,862.09	$2,818.38	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,467.37 / $8,912.51	Professional		$2,187.76	$3,467.37	$8,912.51
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 $2,398.83 / $2,570.40 / $2,884.03	Professional		$2,398.83	$2,570.40	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,025.60 / $13,803.84	Facility		$1,995.26	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $4,265.80	Professional		$1,819.70	$2,454.71	$4,265.80