Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,532.34 / $2,532.34 / $3,154.42	Facility		$2,532.34	$2,532.34	$3,154.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.09 / $2,532.34 / $3,431.58	Professional		$2,041.09	$2,532.34	$3,431.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,399.40 / $17,966.64 / $35,978.19	Facility		$8,399.40	$17,966.64	$35,978.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,644.78 / $2,274.36 / $2,770.53	Professional		$1,644.78	$2,274.36	$2,770.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,549.35 / $2,020.66 / $5,506.05	Professional		$1,549.35	$2,020.66	$5,506.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.57 / $2,256.92 / $5,809.65	Professional		$1,557.57	$2,256.92	$5,809.65
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 $1,566.71 / $1,715.79 / $1,908.93	Professional		$1,566.71	$1,715.79	$1,908.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,158.56	Professional		$32.34	$32.34	$2,158.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.26 / $1,761.49 / $3,174.30	Professional		$1,288.26	$1,761.49	$3,174.30