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 $2,041.74 / $2,630.27 / $5,754.40	Professional		$2,041.74	$2,630.27	$5,754.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $33,113.11 / $63,095.73	Facility		$12,302.69	$33,113.11	$63,095.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,265.80 / $4,677.35	Professional		$2,818.38	$4,265.80	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $5,011.87	Professional		$2,089.30	$3,467.37	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,265.80 / $9,549.93	Professional		$2,570.40	$4,265.80	$9,549.93
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 $2,570.40 / $3,162.28 / $3,630.78	Professional		$2,570.40	$3,162.28	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $549.54	Professional		$32.36	$32.36	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,951.21 / $7,413.10	Facility		$616.60	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $5,128.61	Professional		$2,187.76	$3,019.95	$5,128.61