Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,388.44 / $8,511.38	Facility		$1,148.15	$3,388.44	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $3,630.78	Professional		$1,659.59	$2,041.74	$3,630.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $28,183.83 / $54,954.09	Facility		$10,471.29	$28,183.83	$54,954.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $3,801.89	Professional		$2,187.76	$3,548.13	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $3,715.35	Professional		$1,621.81	$2,570.40	$3,715.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,951.21 / $8,912.51	Professional		$1,819.70	$2,951.21	$8,912.51
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 $2,137.96 / $2,290.87 / $2,454.71	Professional		$2,137.96	$2,290.87	$2,454.71
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 / $2,454.71 / $3,890.45	Professional		$1,819.70	$2,454.71	$3,890.45