Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,801.89 / $9,772.37	Facility		$1,148.15	$3,801.89	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $4,365.16	Professional		$1,659.59	$2,137.96	$4,365.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $26,915.35 / $52,480.75	Facility		$10,000.00	$26,915.35	$52,480.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $5,128.61	Professional		$2,691.53	$3,467.37	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,951.21 / $4,365.16	Professional		$1,778.28	$2,951.21	$4,365.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,235.94 / $9,120.11	Professional		$1,995.26	$3,235.94	$9,120.11
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 $2,089.30 / $2,570.40 / $2,951.21	Professional		$2,089.30	$2,570.40	$2,951.21
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 $1,995.26 / $2,691.53 / $4,466.84	Professional		$1,995.26	$2,691.53	$4,466.84