Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $6,913.79	Facility		$1,159.00	$3,636.00	$6,913.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,882.50 / $3,092.59 / $5,448.64	Professional		$2,882.50	$3,092.59	$5,448.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22,618.69 / $48,382.24 / $96,885.43	Facility		$22,618.69	$48,382.24	$96,885.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,741.36 / $6,017.17 / $6,282.58	Professional		$3,741.36	$6,017.17	$6,282.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,288.87 / $3,288.87 / $5,816.20	Professional		$3,288.87	$3,288.87	$5,816.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,182.08 / $4,773.12 / $13,234.71	Professional		$3,182.08	$4,773.12	$13,234.71
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 $3,322.94 / $3,760.64 / $4,217.08	Professional		$3,322.94	$3,760.64	$4,217.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,865.87	Professional		$32.34	$32.34	$4,865.87
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 $2,974.62 / $4,151.35 / $6,723.44	Professional		$2,974.62	$4,151.35	$6,723.44