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 $2,344.23 / $3,090.30 / $6,165.95	Professional		$2,344.23	$3,090.30	$6,165.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $38,904.51 / $75,857.76	Facility		$14,454.40	$38,904.51	$75,857.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,897.79 / $5,495.41	Professional		$3,801.89	$4,897.79	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,265.80 / $5,888.44	Professional		$2,398.83	$4,265.80	$5,888.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,677.35 / $9,549.93	Professional		$2,754.23	$4,677.35	$9,549.93
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 $3,090.30 / $3,715.35 / $4,265.80	Professional		$3,090.30	$3,715.35	$4,265.80
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 $2,630.27 / $3,548.13 / $6,456.54	Professional		$2,630.27	$3,548.13	$6,456.54