Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,365.16 / $8,511.38	Facility		$1,148.15	$4,365.16	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $4,897.79	Professional		$2,187.76	$2,754.23	$4,897.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $26,302.68 / $50,118.72	Facility		$9,772.37	$26,302.68	$50,118.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,235.94 / $3,715.35	Professional		$2,691.53	$3,235.94	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $4,786.30	Professional		$2,398.83	$3,388.44	$4,786.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $10,715.19	Professional		$2,137.96	$3,548.13	$10,715.19
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 $2,344.23 / $2,818.38 / $3,162.28	Professional		$2,344.23	$2,818.38	$3,162.28
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 $2,344.23 / $3,311.31 / $5,248.07	Professional		$2,344.23	$3,311.31	$5,248.07