Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $9,332.54	Facility		$1,202.26	$2,884.03	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $3,019.95	Professional		$1,258.93	$1,548.82	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $11,220.18 / $33,113.11	Facility		$9,120.11	$11,220.18	$33,113.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,019.95	Professional		$1,819.70	$2,511.89	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $3,019.95	Professional		$1,202.26	$1,949.84	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $6,456.54	Professional		$1,412.54	$2,454.71	$6,456.54
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 $1,698.24 / $1,862.09 / $2,089.30	Professional		$1,698.24	$1,862.09	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,548.82	Professional		$32.36	$33.11	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,495.41 / $9,772.37	Facility		$1,778.28	$5,495.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $3,090.30	Professional		$1,148.15	$1,698.24	$3,090.30