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 $2,344.23 / $2,951.21 / $5,370.32	Professional		$2,344.23	$2,951.21	$5,370.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $34,673.69 / $66,069.34	Facility		$12,882.50	$34,673.69	$66,069.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,265.80 / $6,456.54	Professional		$3,311.31	$4,265.80	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $5,888.44	Professional		$2,290.87	$3,801.89	$5,888.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,365.16 / $16,595.87	Professional		$2,691.53	$4,365.16	$16,595.87
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 $3,162.28 / $3,388.44 / $3,715.35	Professional		$3,162.28	$3,388.44	$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 $2,630.27 / $3,630.78 / $5,754.40	Professional		$2,630.27	$3,630.78	$5,754.40