Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,801.89 / $8,912.51	Facility		$1,202.26	$3,801.89	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $4,365.16	Professional		$1,698.24	$2,089.30	$4,365.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,772.37 / $44,668.36	Facility		$7,585.78	$9,772.37	$44,668.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $4,073.80	Professional		$1,698.24	$2,691.53	$4,073.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,388.44 / $7,762.47	Professional		$1,995.26	$3,388.44	$7,762.47
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 $2,344.23 / $2,511.89 / $2,818.38	Professional		$2,344.23	$2,511.89	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,025.60 / $13,803.84	Facility		$1,949.84	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $4,168.69	Professional		$1,778.28	$2,344.23	$4,168.69