Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $5,091.00 / $9,691.00	Facility		$1,129.00	$5,091.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,082.85 / $6,053.35 / $9,524.51	Professional		$5,082.85	$6,053.35	$9,524.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,791.45 / $57,307.92 / $114,759.10	Facility		$26,791.45	$57,307.92	$114,759.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,006.00 / $7,187.53 / $8,400.41	Professional		$6,006.00	$7,187.53	$8,400.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,980.30 / $5,980.30 / $9,773.17	Professional		$5,980.30	$5,980.30	$9,773.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,714.39 / $7,641.57 / $19,548.91	Professional		$4,714.39	$7,641.57	$19,548.91
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 $5,436.34 / $6,302.24 / $7,040.28	Professional		$5,436.34	$6,302.24	$7,040.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $7,960.93	Professional		$32.34	$32.34	$7,960.93
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 $4,758.53 / $6,586.33 / $12,475.09	Professional		$4,758.53	$6,586.33	$12,475.09