Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,073.80 / $8,511.38	Facility		$1,148.15	$4,073.80	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $4,786.30	Professional		$1,778.28	$2,344.23	$4,786.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $29,512.09 / $56,234.13	Facility		$10,964.78	$29,512.09	$56,234.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,715.35 / $6,309.57	Professional		$3,235.94	$3,715.35	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $4,466.84	Professional		$1,905.46	$3,090.30	$4,466.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,715.35 / $10,000.00	Professional		$2,344.23	$3,715.35	$10,000.00
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 $2,290.87 / $2,818.38 / $3,235.94	Professional		$2,290.87	$2,818.38	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $489.78	Professional		$32.36	$32.36	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,951.21 / $7,413.10	Facility		$616.60	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $4,570.88	Professional		$1,949.84	$2,691.53	$4,570.88