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 $1,513.56 / $1,949.84 / $4,265.80	Professional		$1,513.56	$1,949.84	$4,265.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $11,220.18 / $38,018.94	Facility		$9,332.54	$11,220.18	$38,018.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $3,548.13	Professional		$2,089.30	$2,884.03	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $3,548.13	Professional		$1,659.59	$2,454.71	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,951.21 / $10,715.19	Professional		$1,862.09	$2,951.21	$10,715.19
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 $1,995.26 / $2,187.76 / $2,398.83	Professional		$1,995.26	$2,187.76	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,819.70	Professional		$32.36	$33.11	$1,819.70
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 $1,584.89 / $2,089.30 / $3,630.78	Professional		$1,584.89	$2,089.30	$3,630.78