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 / $4,677.35	Professional		$1,862.09	$2,398.83	$4,677.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $30,902.95 / $58,884.37	Facility		$11,220.18	$30,902.95	$58,884.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,467.37 / $6,456.54	Professional		$3,090.30	$3,467.37	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,388.44 / $4,897.79	Professional		$2,089.30	$3,388.44	$4,897.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,715.35 / $11,220.18	Professional		$2,238.72	$3,715.35	$11,220.18
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 / $3,019.95 / $5,128.61	Professional		$2,290.87	$3,019.95	$5,128.61