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 $2,137.96 / $2,754.23 / $5,011.87	Professional		$2,137.96	$2,754.23	$5,011.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $31,622.78 / $61,659.50	Facility		$11,748.98	$31,622.78	$61,659.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,388.44 / $5,011.87	Professional		$2,137.96	$3,388.44	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $10,471.29	Professional		$2,398.83	$3,890.45	$10,471.29
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 / $2,951.21 / $3,311.31	Professional		$2,818.38	$2,951.21	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $5,248.07	Professional		$2,398.83	$3,019.95	$5,248.07