Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,073.80 / $8,511.38	Facility		$1,148.15	$4,073.80	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $5,248.07	Professional		$1,778.28	$2,344.23	$5,248.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $29,512.09 / $56,234.13	Facility		$10,964.78	$29,512.09	$56,234.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $4,073.80	Professional		$2,884.03	$3,715.35	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,235.94 / $4,677.35	Professional		$1,995.26	$3,235.94	$4,677.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $11,748.98	Professional		$2,137.96	$3,548.13	$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 $2,290.87 / $2,818.38 / $3,235.94	Professional		$2,290.87	$2,818.38	$3,235.94
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 $2,187.76 / $2,951.21 / $4,897.79	Professional		$2,187.76	$2,951.21	$4,897.79