Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,715.35 / $8,511.38	Facility		$1,148.15	$3,715.35	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $4,570.88	Professional		$1,621.81	$2,089.30	$4,570.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $26,302.68 / $51,286.14	Facility		$9,772.37	$26,302.68	$51,286.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $3,715.35	Professional		$2,630.27	$3,388.44	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,951.21 / $4,265.80	Professional		$1,819.70	$2,951.21	$4,265.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,311.31 / $9,332.54	Professional		$1,862.09	$3,311.31	$9,332.54
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 / $2,951.21	Professional		$2,089.30	$2,511.89	$2,951.21
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 / $2,630.27 / $4,466.84	Professional		$1,949.84	$2,630.27	$4,466.84