Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,019.95 / $5,888.44	Facility		$1,071.52	$3,019.95	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $3,630.78	Professional		$1,412.54	$1,737.80	$3,630.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,623.41 / $37,153.52	Facility		$4,168.69	$5,623.41	$37,153.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $3,388.44	Professional		$1,995.26	$2,754.23	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $3,388.44	Professional		$1,548.82	$2,290.87	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $8,912.51	Professional		$1,737.80	$2,818.38	$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 $1,905.46 / $2,089.30 / $2,290.87	Professional		$1,905.46	$2,089.30	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,778.28	Professional		$32.36	$33.11	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51
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