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 $2,454.71 / $3,019.95 / $5,370.32	Professional		$2,454.71	$3,019.95	$5,370.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $28,840.32 / $54,954.09	Facility		$10,715.19	$28,840.32	$54,954.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,630.78 / $5,011.87	Professional		$3,019.95	$3,630.78	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,801.89 / $5,495.41	Professional		$2,691.53	$3,801.89	$5,495.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $11,748.98	Professional		$2,238.72	$4,265.80	$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 $2,630.27 / $3,162.28 / $3,548.13	Professional		$2,630.27	$3,162.28	$3,548.13
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 $2,570.40 / $3,715.35 / $5,754.40	Professional		$2,570.40	$3,715.35	$5,754.40