Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,786.30 / $8,511.38	Facility		$1,148.15	$4,786.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $6,165.95	Professional		$2,290.87	$2,951.21	$6,165.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $37,153.52 / $72,443.60	Facility		$13,803.84	$37,153.52	$72,443.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $7,943.28	Professional		$4,168.69	$4,168.69	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,168.69 / $5,888.44	Professional		$2,137.96	$4,168.69	$5,888.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,570.88 / $13,803.84	Professional		$2,454.71	$4,570.88	$13,803.84
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 $2,884.03 / $3,548.13 / $4,168.69	Professional		$2,884.03	$3,548.13	$4,168.69
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 $2,630.27 / $3,630.78 / $6,309.57	Professional		$2,630.27	$3,630.78	$6,309.57