Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,128.61 / $9,772.37	Facility		$1,148.15	$5,128.61	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $8,912.51	Professional		$4,073.80	$5,128.61	$8,912.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $48,977.88 / $93,325.43	Facility		$18,197.01	$48,977.88	$93,325.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,165.95 / $7,079.46	Professional		$5,128.61	$6,165.95	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $6,309.57 / $8,709.64	Professional		$2,951.21	$6,309.57	$8,709.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $6,456.54 / $19,054.61	Professional		$2,238.72	$6,456.54	$19,054.61
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 $4,570.88 / $5,370.32 / $6,025.60	Professional		$4,570.88	$5,370.32	$6,025.60
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 $2,041.74 / $5,128.61 / $10,000.00	Professional		$2,041.74	$5,128.61	$10,000.00