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 $3,388.44 / $4,365.16 / $8,317.64	Professional		$3,388.44	$4,365.16	$8,317.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $40,738.03 / $79,432.82	Facility		$15,135.61	$40,738.03	$79,432.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $7,244.36	Professional		$4,365.16	$5,128.61	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,370.32 / $7,413.10	Professional		$3,801.89	$5,370.32	$7,413.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,888.44 / $17,378.01	Professional		$3,235.94	$5,888.44	$17,378.01
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 $3,801.89 / $4,466.84 / $5,011.87	Professional		$3,801.89	$4,466.84	$5,011.87
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 $3,630.78 / $5,128.61 / $8,128.31	Professional		$3,630.78	$5,128.61	$8,128.31