Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,677.35 / $9,120.11	Facility		$1,148.15	$4,677.35	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $5,623.41	Professional		$2,187.76	$2,691.53	$5,623.41
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 $2,884.03 / $4,365.16 / $4,786.30	Professional		$2,884.03	$4,365.16	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,715.35 / $5,495.41	Professional		$1,949.84	$3,715.35	$5,495.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,073.80 / $9,772.37	Professional		$2,290.87	$4,073.80	$9,772.37
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 $2,818.38 / $3,235.94 / $3,715.35	Professional		$2,818.38	$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 / $3,311.31 / $5,623.41	Professional		$2,344.23	$3,311.31	$5,623.41