Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,495.41 / $10,000.00	Facility		$1,659.59	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $4,897.79	Professional		$1,380.38	$1,659.59	$4,897.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $15,848.93 / $30,199.52	Facility		$5,888.44	$15,848.93	$30,199.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,187.76	Professional		$1,548.82	$1,819.70	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,630.27	Professional		$1,380.38	$1,949.84	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $7,079.46	Professional		$1,258.93	$2,137.96	$7,079.46
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 $1,479.11 / $1,621.81 / $1,778.28	Professional		$1,479.11	$1,621.81	$1,778.28
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 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,162.28	Professional		$1,412.54	$1,949.84	$3,162.28