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 $2,511.89 / $3,235.94 / $6,456.54	Professional		$2,511.89	$3,235.94	$6,456.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $37,153.52 / $70,794.58	Facility		$13,803.84	$37,153.52	$70,794.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $4,786.30	Professional		$3,311.31	$3,311.31	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,890.45 / $5,888.44	Professional		$2,137.96	$3,890.45	$5,888.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,466.84 / $12,302.69	Professional		$2,754.23	$4,466.84	$12,302.69
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 $3,311.31 / $3,467.37 / $3,801.89	Professional		$3,311.31	$3,467.37	$3,801.89
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 $2,691.53 / $3,467.37 / $6,165.95	Professional		$2,691.53	$3,467.37	$6,165.95