Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,677.35 / $8,511.38	Facility		$1,148.15	$4,677.35	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $6,918.31	Professional		$2,818.38	$3,630.78	$6,918.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $42,657.95 / $81,283.05	Facility		$15,488.17	$42,657.95	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,495.41 / $6,025.60	Professional		$3,388.44	$5,495.41	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,570.88 / $6,456.54	Professional		$2,187.76	$4,570.88	$6,456.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $5,011.87 / $13,803.84	Professional		$2,630.27	$5,011.87	$13,803.84
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 $3,388.44 / $3,890.45 / $4,365.16	Professional		$3,388.44	$3,890.45	$4,365.16
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 $2,884.03 / $3,890.45 / $6,760.83	Professional		$2,884.03	$3,890.45	$6,760.83