Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,388.44 / $8,511.38	Facility		$1,148.15	$3,388.44	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $4,168.69	Professional		$1,737.80	$2,137.96	$4,168.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $20,417.38 / $38,904.51	Facility		$7,585.78	$20,417.38	$38,904.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $3,162.28	Professional		$2,137.96	$2,570.40	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $3,715.35	Professional		$1,905.46	$2,691.53	$3,715.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,818.38 / $12,882.50	Professional		$1,698.24	$2,818.38	$12,882.50
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 $1,905.46 / $2,238.72 / $2,511.89	Professional		$1,905.46	$2,238.72	$2,511.89
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 $1,778.28 / $2,454.71 / $4,073.80	Professional		$1,778.28	$2,454.71	$4,073.80