Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,168.69 / $8,511.38	Facility		$1,148.15	$4,168.69	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $4,570.88	Professional		$2,137.96	$2,691.53	$4,570.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $38,018.94 / $72,443.60	Facility		$14,125.38	$38,018.94	$72,443.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,235.94 / $4,466.84	Professional		$1,995.26	$3,235.94	$4,466.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $9,772.37	Professional		$1,949.84	$3,388.44	$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 $2,398.83 / $2,818.38 / $3,162.28	Professional		$2,398.83	$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 $1,819.70 / $2,630.27 / $5,011.87	Professional		$1,819.70	$2,630.27	$5,011.87