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 $2,511.89 / $3,162.28 / $5,370.32	Professional		$2,511.89	$3,162.28	$5,370.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $30,199.52 / $57,543.99	Facility		$11,220.18	$30,199.52	$57,543.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,981.07 / $5,370.32	Professional		$2,754.23	$3,981.07	$5,370.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,365.16 / $15,135.61	Professional		$2,511.89	$4,365.16	$15,135.61
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 $2,754.23 / $3,311.31 / $3,715.35	Professional		$2,754.23	$3,311.31	$3,715.35
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 $2,691.53 / $3,801.89 / $6,025.60	Professional		$2,691.53	$3,801.89	$6,025.60