Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,570.40 / $7,762.47	Facility		$1,202.26	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,691.53	Professional		$1,122.02	$1,380.38	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $10,964.78 / $30,199.52	Facility		$9,120.11	$10,964.78	$30,199.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,698.24 / $2,691.53	Professional		$954.99	$1,698.24	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,238.72 / $6,025.60	Professional		$1,023.29	$2,238.72	$6,025.60
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 $1,584.89 / $1,737.80 / $1,905.46	Professional		$1,584.89	$1,737.80	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,025.60 / $12,302.69	Facility		$2,137.96	$6,025.60	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,513.56 / $2,818.38	Professional		$870.96	$1,513.56	$2,818.38