Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,311.31 / $8,511.38	Facility		$1,148.15	$3,311.31	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $3,548.13	Professional		$1,621.81	$1,995.26	$3,548.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $25,703.96 / $50,118.72	Facility		$9,549.93	$25,703.96	$50,118.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $3,630.78	Professional		$1,949.84	$3,311.31	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $3,630.78	Professional		$1,548.82	$2,511.89	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,884.03 / $7,585.78	Professional		$1,778.28	$2,884.03	$7,585.78
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 $2,089.30 / $2,238.72 / $2,398.83	Professional		$2,089.30	$2,238.72	$2,398.83
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 $1,737.80 / $2,290.87 / $3,890.45	Professional		$1,737.80	$2,290.87	$3,890.45