Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,548.13 / $8,511.38	Facility		$1,148.15	$3,548.13	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $3,801.89	Professional		$1,659.59	$2,041.74	$3,801.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,912.51 / $35,481.34	Facility		$7,244.36	$8,912.51	$35,481.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $3,388.44	Professional		$2,238.72	$3,019.95	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $3,981.07	Professional		$1,698.24	$2,691.53	$3,981.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $8,317.64	Professional		$1,905.46	$3,019.95	$8,317.64
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 $2,238.72 / $2,344.23 / $2,570.40	Professional		$2,238.72	$2,344.23	$2,570.40
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 $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $4,073.80	Professional		$1,905.46	$2,454.71	$4,073.80