Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,128.61 / $9,772.37	Facility		$1,148.15	$5,128.61	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,570.88 / $9,120.11	Professional		$3,548.13	$4,570.88	$9,120.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $57,543.99 / $112,201.85	Facility		$21,379.62	$57,543.99	$112,201.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,456.54 / $8,709.64	Professional		$3,548.13	$6,456.54	$8,709.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $7,079.46 / $16,982.44	Professional		$4,168.69	$7,079.46	$16,982.44
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 $4,677.35 / $5,495.41 / $6,456.54	Professional		$4,677.35	$5,495.41	$6,456.54
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 / $2,951.21 / $7,413.10	Facility		$575.44	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,370.32 / $9,772.37	Professional		$3,890.45	$5,370.32	$9,772.37