Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,715.35 / $8,511.38	Facility		$1,148.15	$3,715.35	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $4,168.69	Professional		$1,905.46	$2,344.23	$4,168.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $22,387.21 / $42,657.95	Facility		$8,317.64	$22,387.21	$42,657.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $3,981.07	Professional		$2,398.83	$2,818.38	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $4,265.80	Professional		$2,089.30	$2,951.21	$4,265.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $10,232.93	Professional		$1,905.46	$3,162.28	$10,232.93
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 $2,089.30 / $2,454.71 / $2,754.23	Professional		$2,089.30	$2,454.71	$2,754.23
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 $1,995.26 / $2,754.23 / $4,466.84	Professional		$1,995.26	$2,754.23	$4,466.84