Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,019.95 / $4,168.69	Professional		$1,737.80	$3,019.95	$4,168.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $39,810.72 / $77,624.71	Facility		$14,791.08	$39,810.72	$77,624.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $398.11	Professional		$288.40	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $5,248.07	Professional		$251.19	$251.19	$5,248.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $346.74 / $588.84	Professional		$125.89	$346.74	$588.84
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $3,630.78	Professional		$251.19	$363.08	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $426.58 / $2,691.53	Facility		$173.78	$426.58	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $1,862.09	Professional		$229.09	$269.15	$1,862.09