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 $3,981.07 / $5,128.61 / $10,471.29	Professional		$3,981.07	$5,128.61	$10,471.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $64,565.42 / $125,892.54	Facility		$23,988.33	$64,565.42	$125,892.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $13,803.84	Professional		$7,244.36	$7,244.36	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $10,471.29	Professional		$3,801.89	$7,413.10	$10,471.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $19,952.62	Professional		$4,265.80	$7,762.47	$19,952.62
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 $5,011.87 / $6,165.95 / $7,244.36	Professional		$5,011.87	$6,165.95	$7,244.36
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 $4,677.35 / $6,456.54 / $11,481.54	Professional		$4,677.35	$6,456.54	$11,481.54