Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,801.89 / $8,511.38	Facility		$1,148.15	$3,801.89	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $4,265.80	Professional		$1,995.26	$2,454.71	$4,265.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $22,908.68 / $44,668.36	Facility		$8,511.38	$22,908.68	$44,668.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,073.80	Professional		$2,454.71	$2,884.03	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $4,168.69	Professional		$2,137.96	$3,090.30	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,388.44 / $11,748.98	Professional		$1,819.70	$3,388.44	$11,748.98
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 $2,187.76 / $2,511.89 / $2,818.38	Professional		$2,187.76	$2,511.89	$2,818.38
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 $2,041.74 / $2,951.21 / $4,570.88	Professional		$2,041.74	$2,951.21	$4,570.88