Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,466.84 / $8,511.38	Facility		$1,148.15	$4,466.84	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $5,623.41	Professional		$2,344.23	$2,884.03	$5,623.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $27,542.29 / $52,480.75	Facility		$10,232.93	$27,542.29	$52,480.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $4,073.80	Professional		$2,951.21	$3,467.37	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,630.78 / $5,011.87	Professional		$2,570.40	$3,630.78	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $19,054.61	Professional		$2,344.23	$3,801.89	$19,054.61
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 $2,570.40 / $3,019.95 / $3,388.44	Professional		$2,570.40	$3,019.95	$3,388.44
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 $2,454.71 / $3,388.44 / $5,495.41	Professional		$2,454.71	$3,388.44	$5,495.41