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 / $5,888.44	Professional		$2,041.74	$2,630.27	$5,888.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $33,884.42 / $64,565.42	Facility		$12,589.25	$33,884.42	$64,565.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,265.80 / $4,786.30	Professional		$3,311.31	$4,265.80	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,715.35 / $5,128.61	Professional		$2,290.87	$3,715.35	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $12,022.64	Professional		$2,454.71	$4,073.80	$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 $2,630.27 / $3,235.94 / $3,715.35	Professional		$2,630.27	$3,235.94	$3,715.35
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 $2,344.23 / $3,162.28 / $5,623.41	Professional		$2,344.23	$3,162.28	$5,623.41