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 $1,995.26 / $2,570.40 / $5,248.07	Professional		$1,995.26	$2,570.40	$5,248.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $32,359.37 / $63,095.73	Facility		$12,022.64	$32,359.37	$63,095.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $6,918.31	Professional		$3,548.13	$3,548.13	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $5,248.07	Professional		$2,187.76	$3,548.13	$5,248.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $11,748.98	Professional		$2,398.83	$3,890.45	$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 $2,511.89 / $3,090.30 / $3,548.13	Professional		$2,511.89	$3,090.30	$3,548.13
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 $2,398.83 / $3,235.94 / $5,370.32	Professional		$2,398.83	$3,235.94	$5,370.32