Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,265.80 / $8,511.38	Facility		$1,148.15	$4,265.80	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $5,011.87	Professional		$1,862.09	$2,398.83	$5,011.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $30,902.95 / $58,884.37	Facility		$11,481.54	$30,902.95	$58,884.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $4,265.80	Professional		$3,019.95	$3,890.45	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,388.44 / $4,897.79	Professional		$2,137.96	$3,388.44	$4,897.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,890.45 / $9,120.11	Professional		$2,187.76	$3,890.45	$9,120.11
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 $2,398.83 / $2,951.21 / $3,388.44	Professional		$2,398.83	$2,951.21	$3,388.44
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 $2,290.87 / $3,090.30 / $5,128.61	Professional		$2,290.87	$3,090.30	$5,128.61