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 / $2,951.21 / $6,165.95	Professional		$2,511.89	$2,951.21	$6,165.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $30,902.95 / $58,884.37	Facility		$11,481.54	$30,902.95	$58,884.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $4,897.79	Professional		$3,162.28	$3,801.89	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,715.35 / $6,165.95	Professional		$2,290.87	$3,715.35	$6,165.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,011.87 / $13,489.63	Professional		$2,951.21	$5,011.87	$13,489.63
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 $3,162.28 / $3,467.37 / $3,801.89	Professional		$3,162.28	$3,467.37	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,467.37	Professional		$32.36	$33.11	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,818.38 / $7,413.10	Facility		$575.44	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $5,754.40	Professional		$2,630.27	$3,467.37	$5,754.40