Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,466.84 / $8,912.51	Facility		$1,202.26	$4,466.84	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,388.44 / $6,918.31	Professional		$2,754.23	$3,388.44	$6,918.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $12,589.25 / $74,131.02	Facility		$9,332.54	$12,589.25	$74,131.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,495.41 / $5,495.41	Professional		$3,981.07	$5,495.41	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,677.35 / $6,760.83	Professional		$3,090.30	$4,677.35	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,623.41 / $12,589.25	Professional		$3,548.13	$5,623.41	$12,589.25
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 $3,801.89 / $4,168.69 / $4,677.35	Professional		$3,801.89	$4,168.69	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,467.37	Professional		$32.36	$33.11	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,370.32 / $12,302.69	Facility		$1,862.09	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,890.45 / $6,760.83	Professional		$2,951.21	$3,890.45	$6,760.83