Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,466.84 / $8,511.38	Facility		$1,148.15	$4,466.84	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,818.38 / $6,025.60	Professional		$2,290.87	$2,818.38	$6,025.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $26,302.68 / $61,659.50	Facility		$21,379.62	$26,302.68	$61,659.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,801.89 / $5,495.41	Professional		$2,570.40	$3,801.89	$5,495.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,677.35 / $10,000.00	Professional		$2,951.21	$4,677.35	$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 $3,162.28 / $3,467.37 / $3,890.45	Professional		$3,162.28	$3,467.37	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,884.03	Professional		$32.36	$33.11	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $8,128.31 / $28,840.32	Facility		$2,398.83	$8,128.31	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $5,754.40	Professional		$2,344.23	$3,162.28	$5,754.40