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 $2,089.30 / $2,570.40 / $4,897.79	Professional		$2,089.30	$2,570.40	$4,897.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $35,481.34 / $67,608.30	Facility		$13,182.57	$35,481.34	$67,608.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $4,365.16	Professional		$2,884.03	$3,890.45	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,467.37 / $5,248.07	Professional		$2,238.72	$3,467.37	$5,248.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $13,489.63	Professional		$2,454.71	$3,981.07	$13,489.63
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 $2,884.03 / $3,090.30 / $3,388.44	Professional		$2,884.03	$3,090.30	$3,388.44
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 $2,454.71 / $3,311.31 / $5,370.32	Professional		$2,454.71	$3,311.31	$5,370.32