Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,981.07 / $8,511.38	Facility		$1,148.15	$3,981.07	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $4,897.79	Professional		$2,041.74	$2,570.40	$4,897.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $23,988.33 / $46,773.51	Facility		$8,912.51	$23,988.33	$46,773.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $4,073.80	Professional		$2,290.87	$3,019.95	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $4,365.16	Professional		$2,187.76	$3,162.28	$4,365.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,388.44 / $10,964.78	Professional		$2,041.74	$3,388.44	$10,964.78
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 $2,238.72 / $2,630.27 / $2,951.21	Professional		$2,238.72	$2,630.27	$2,951.21
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 $2,137.96 / $2,951.21 / $4,786.30	Professional		$2,137.96	$2,951.21	$4,786.30