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 / $9,772.37	Facility		$1,148.15	$4,677.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,548.13 / $6,165.95	Professional		$2,884.03	$3,548.13	$6,165.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $33,884.42 / $64,565.42	Facility		$12,589.25	$33,884.42	$64,565.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $4,897.79	Professional		$3,548.13	$4,265.80	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $6,025.60	Professional		$2,884.03	$4,466.84	$6,025.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,570.88 / $15,135.61	Professional		$2,884.03	$4,570.88	$15,135.61
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 $3,162.28 / $3,715.35 / $4,168.69	Professional		$3,162.28	$3,715.35	$4,168.69
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 / $4,168.69 / $6,606.93	Professional		$2,884.03	$4,168.69	$6,606.93