Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,630.78 / $8,511.38	Facility		$1,148.15	$3,630.78	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $4,168.69	Professional		$1,621.81	$2,041.74	$4,168.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $26,302.68 / $50,118.72	Facility		$9,772.37	$26,302.68	$50,118.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $3,715.35	Professional		$2,570.40	$3,388.44	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,884.03 / $4,265.80	Professional		$1,778.28	$2,884.03	$4,265.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,162.28 / $7,585.78	Professional		$1,949.84	$3,162.28	$7,585.78
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 $2,089.30 / $2,511.89 / $2,884.03	Professional		$2,089.30	$2,511.89	$2,884.03
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 $1,949.84 / $2,570.40 / $4,365.16	Professional		$1,949.84	$2,570.40	$4,365.16