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 $1,862.09 / $2,398.83 / $5,011.87	Professional		$1,862.09	$2,398.83	$5,011.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $22,908.68 / $43,651.58	Facility		$8,511.38	$22,908.68	$43,651.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $3,890.45	Professional		$2,454.71	$2,884.03	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $4,365.16	Professional		$2,137.96	$3,019.95	$4,365.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,162.28 / $9,772.37	Professional		$1,949.84	$3,162.28	$9,772.37
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 $2,137.96 / $2,511.89 / $2,818.38	Professional		$2,137.96	$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 $1,995.26 / $2,818.38 / $4,570.88	Professional		$1,995.26	$2,818.38	$4,570.88