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 / $8,709.64	Facility		$1,148.15	$4,466.84	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $5,754.40	Professional		$2,137.96	$2,818.38	$5,754.40
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,630.78 / $5,370.32	Professional		$2,290.87	$3,630.78	$5,370.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,570.88 / $12,882.50	Professional		$2,754.23	$4,570.88	$12,882.50
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 $2,754.23 / $3,388.44 / $3,890.45	Professional		$2,754.23	$3,388.44	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $588.84	Professional		$32.36	$32.36	$588.84
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 $2,290.87 / $3,162.28 / $5,495.41	Professional		$2,290.87	$3,162.28	$5,495.41