Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,715.35 / $9,772.37	Facility		$1,258.93	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $3,630.78	Professional		$1,479.11	$1,862.09	$3,630.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $11,220.18 / $39,810.72	Facility		$9,332.54	$11,220.18	$39,810.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $3,630.78	Professional		$2,187.76	$3,019.95	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $3,548.13	Professional		$1,258.93	$2,238.72	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,951.21 / $7,762.47	Professional		$1,380.38	$2,951.21	$7,762.47
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 / $2,238.72 / $2,511.89	Professional		$2,041.74	$2,238.72	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,862.09	Professional		$32.36	$33.11	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,244.36 / $16,982.44	Facility		$1,778.28	$7,244.36	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $3,715.35	Professional		$1,122.02	$1,995.26	$3,715.35