Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,548.13 / $8,912.51	Facility		$1,202.26	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $3,311.31	Professional		$1,548.82	$1,949.84	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,912.51 / $34,673.69	Facility		$7,244.36	$8,912.51	$34,673.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $3,235.94	Professional		$2,089.30	$2,754.23	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $3,630.78	Professional		$1,584.89	$2,454.71	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $8,709.64	Professional		$1,737.80	$2,884.03	$8,709.64
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 $2,041.74 / $2,187.76 / $2,398.83	Professional		$2,041.74	$2,187.76	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,370.32 / $12,302.69	Facility		$2,041.74	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $3,630.78	Professional		$1,778.28	$2,290.87	$3,630.78