Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,168.69 / $11,481.54	Facility		$1,258.93	$4,168.69	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $4,897.79	Professional		$1,905.46	$2,454.71	$4,897.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $25,703.96 / $48,977.88	Facility		$21,379.62	$25,703.96	$48,977.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $5,370.32	Professional		$2,691.53	$3,715.35	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $4,570.88	Professional		$2,089.30	$3,162.28	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,801.89 / $19,498.45	Professional		$2,398.83	$3,801.89	$19,498.45
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 $2,570.40 / $2,818.38 / $3,162.28	Professional		$2,570.40	$2,818.38	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,344.23	Professional		$32.36	$33.11	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $8,128.31 / $28,840.32	Facility		$2,137.96	$8,128.31	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $4,677.35	Professional		$2,041.74	$2,754.23	$4,677.35