Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,677.35 / $9,772.37	Facility		$1,148.15	$4,677.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,981.07 / $9,332.54	Professional		$3,311.31	$3,981.07	$9,332.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $37,153.52 / $72,443.60	Facility		$13,803.84	$37,153.52	$72,443.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,677.35 / $5,888.44	Professional		$3,548.13	$4,677.35	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,011.87 / $6,760.83	Professional		$3,235.94	$5,011.87	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,248.07 / $21,379.62	Professional		$3,162.28	$5,248.07	$21,379.62
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 $3,548.13 / $4,073.80 / $4,570.88	Professional		$3,548.13	$4,073.80	$4,570.88
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 $575.44 / $2,951.21 / $7,413.10	Facility		$575.44	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,677.35 / $7,585.78	Professional		$3,235.94	$4,677.35	$7,585.78