Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,500.00 / $9,691.00	Facility		$1,159.00	$4,500.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,224.78 / $4,151.42 / $6,900.40	Professional		$3,224.78	$4,151.42	$6,900.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22,646.37 / $48,441.44 / $97,003.98	Facility		$22,646.37	$48,441.44	$97,003.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,407.76 / $6,354.46 / $6,748.75	Professional		$4,407.76	$6,354.46	$6,748.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,679.61 / $3,679.61 / $7,029.80	Professional		$3,679.61	$3,679.61	$7,029.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,617.96 / $5,754.79 / $16,876.61	Professional		$3,617.96	$5,754.79	$16,876.61
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 $3,917.10 / $4,534.08 / $5,065.55	Professional		$3,917.10	$4,534.08	$5,065.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,844.87	Professional		$32.34	$32.34	$5,844.87
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,404.75 / $5,107.13 / $8,859.68	Professional		$3,404.75	$5,107.13	$8,859.68