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 $1,995.26 / $2,511.89 / $5,248.07	Professional		$1,995.26	$2,511.89	$5,248.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $10,232.93 / $53,703.18	Facility		$7,585.78	$10,232.93	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $4,897.79	Professional		$2,137.96	$3,235.94	$4,897.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $9,332.54	Professional		$2,570.40	$4,073.80	$9,332.54
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 $2,818.38 / $3,019.95 / $3,388.44	Professional		$2,818.38	$3,019.95	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,511.89	Professional		$32.36	$33.11	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,302.69	Facility		$2,137.96	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $5,011.87	Professional		$2,187.76	$2,818.38	$5,011.87