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 $2,041.74 / $2,630.27 / $5,248.07	Professional		$2,041.74	$2,630.27	$5,248.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $33,113.11 / $63,095.73	Facility		$12,302.69	$33,113.11	$63,095.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,265.80 / $6,309.57	Professional		$3,235.94	$4,265.80	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,630.78 / $5,370.32	Professional		$2,238.72	$3,630.78	$5,370.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $12,022.64	Professional		$2,454.71	$3,981.07	$12,022.64
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 $2,570.40 / $3,162.28 / $3,630.78	Professional		$2,570.40	$3,162.28	$3,630.78
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 $2,454.71 / $3,311.31 / $5,495.41	Professional		$2,454.71	$3,311.31	$5,495.41