Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,467.37 / $8,511.38	Facility		$1,148.15	$3,467.37	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $4,365.16	Professional		$1,862.09	$2,238.72	$4,365.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $20,892.96 / $40,738.03	Facility		$7,762.47	$20,892.96	$40,738.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $3,311.31	Professional		$2,238.72	$2,630.27	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $4,265.80	Professional		$1,949.84	$2,818.38	$4,265.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,019.95 / $14,125.38	Professional		$1,778.28	$3,019.95	$14,125.38
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 $1,995.26 / $2,344.23 / $2,630.27	Professional		$1,995.26	$2,344.23	$2,630.27
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 $1,862.09 / $2,630.27 / $4,168.69	Professional		$1,862.09	$2,630.27	$4,168.69