Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,981.07 / $9,772.37	Facility		$1,258.93	$3,981.07	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $4,677.35	Professional		$1,862.09	$2,290.87	$4,677.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $11,220.18 / $46,773.51	Facility		$9,332.54	$11,220.18	$46,773.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $4,265.80	Professional		$2,290.87	$3,548.13	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,019.95 / $4,365.16	Professional		$1,949.84	$3,019.95	$4,365.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $9,120.11	Professional		$2,137.96	$3,548.13	$9,120.11
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 $2,398.83 / $2,691.53 / $2,951.21	Professional		$2,398.83	$2,691.53	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,187.76	Professional		$32.36	$33.11	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $7,244.36 / $16,982.44	Facility		$2,041.74	$7,244.36	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $4,466.84	Professional		$1,949.84	$2,630.27	$4,466.84