Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $3,073.00 / $7,125.00	Facility		$1,207.00	$3,073.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,313.41 / $1,582.80 / $2,422.98	Professional		$1,313.41	$1,582.80	$2,422.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,830.79 / $13,762.90 / $30,018.62	Facility		$6,830.79	$13,762.90	$30,018.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,498.81 / $2,124.21 / $2,330.76	Professional		$1,498.81	$2,124.21	$2,330.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,628.10 / $5,287.10 / $6,334.55	Professional		$1,628.10	$5,287.10	$6,334.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,233.71 / $2,097.31 / $5,745.11	Professional		$1,233.71	$2,097.31	$5,745.11
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 $1,578.55 / $1,603.82 / $1,739.52	Professional		$1,578.55	$1,603.82	$1,739.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,966.99	Professional		$32.34	$32.34	$1,966.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,405.00 / $11,479.00	Facility		$2,100.00	$5,405.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,233.86 / $1,606.20 / $2,782.17	Professional		$1,233.86	$1,606.20	$2,782.17