Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $8,511.38	Facility		$1,148.15	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $3,019.95	Professional		$1,148.15	$1,445.44	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $30,199.52	Facility		$7,585.78	$9,120.11	$30,199.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $2,754.23	Professional		$1,148.15	$1,862.09	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $5,888.44	Professional		$1,380.38	$2,290.87	$5,888.44
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 $1,621.81 / $1,698.24 / $1,905.46	Professional		$1,621.81	$1,698.24	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,412.54	Professional		$32.36	$33.11	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,302.69	Facility		$2,137.96	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,884.03	Professional		$1,202.26	$1,584.89	$2,884.03