Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,168.69 / $8,511.38	Facility		$1,148.15	$4,168.69	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $4,677.35	Professional		$2,187.76	$2,691.53	$4,677.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $25,118.86 / $48,977.88	Facility		$9,332.54	$25,118.86	$48,977.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $4,265.80	Professional		$2,691.53	$3,162.28	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $5,128.61	Professional		$2,344.23	$3,388.44	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,630.78 / $14,791.08	Professional		$2,137.96	$3,630.78	$14,791.08
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 $2,398.83 / $2,754.23 / $3,090.30	Professional		$2,398.83	$2,754.23	$3,090.30
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 $2,238.72 / $3,162.28 / $5,011.87	Professional		$2,238.72	$3,162.28	$5,011.87