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 $2,630.27 / $3,388.44 / $6,918.31	Professional		$2,630.27	$3,388.44	$6,918.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $42,657.95 / $81,283.05	Facility		$15,848.93	$42,657.95	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,677.35 / $5,128.61	Professional		$3,548.13	$4,677.35	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,570.88 / $6,456.54	Professional		$2,818.38	$4,570.88	$6,456.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,495.41 / $15,488.17	Professional		$3,467.37	$5,495.41	$15,488.17
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 $3,311.31 / $4,073.80 / $4,677.35	Professional		$3,311.31	$4,073.80	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $707.95	Professional		$32.36	$32.36	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,244.36 / $21,877.62	Facility		$2,570.40	$7,244.36	$21,877.62
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,981.07 / $6,760.83	Professional		$2,884.03	$3,981.07	$6,760.83