Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,890.45 / $11,481.54	Facility		$1,258.93	$3,890.45	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $4,466.84	Professional		$1,621.81	$1,949.84	$4,466.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $25,118.86 / $42,657.95	Facility		$20,892.96	$25,118.86	$42,657.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $3,801.89	Professional		$2,290.87	$3,235.94	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,691.53 / $3,890.45	Professional		$1,737.80	$2,691.53	$3,890.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,235.94 / $10,715.19	Professional		$1,995.26	$3,235.94	$10,715.19
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 / $2,398.83 / $2,691.53	Professional		$2,041.74	$2,398.83	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,137.96	Professional		$32.36	$33.11	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $8,128.31 / $28,840.32	Facility		$1,949.84	$8,128.31	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,890.45	Professional		$1,737.80	$2,290.87	$3,890.45