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 $2,398.83 / $2,951.21 / $5,248.07	Professional		$2,398.83	$2,951.21	$5,248.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $28,183.83 / $53,703.18	Facility		$10,471.29	$28,183.83	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $5,128.61	Professional		$2,238.72	$3,548.13	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $11,220.18	Professional		$2,041.74	$3,801.89	$11,220.18
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 $2,630.27 / $3,090.30 / $3,388.44	Professional		$2,630.27	$3,090.30	$3,388.44
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 $2,290.87 / $3,388.44 / $5,623.41	Professional		$2,290.87	$3,388.44	$5,623.41