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 $1,778.28 / $2,187.76 / $3,801.89	Professional		$1,778.28	$2,187.76	$3,801.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $20,417.38 / $39,810.72	Facility		$7,585.78	$20,417.38	$39,810.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $3,019.95	Professional		$2,187.76	$2,570.40	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $4,073.80	Professional		$1,905.46	$2,754.23	$4,073.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $9,332.54	Professional		$1,737.80	$2,884.03	$9,332.54
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 $1,949.84 / $2,238.72 / $2,511.89	Professional		$1,949.84	$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 $1,819.70 / $2,570.40 / $4,073.80	Professional		$1,819.70	$2,570.40	$4,073.80