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 $891.25 / $1,288.25 / $2,691.53	Professional		$891.25	$1,288.25	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $10,964.78 / $27,542.29	Facility		$9,120.11	$10,964.78	$27,542.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,344.23	Professional		$1,071.52	$1,621.81	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $6,456.54	Professional		$1,288.25	$2,089.30	$6,456.54
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 $1,445.44 / $1,548.82 / $1,737.80	Professional		$1,445.44	$1,548.82	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,318.26	Professional		$32.36	$33.11	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,309.57 / $16,982.44	Facility		$2,570.40	$6,309.57	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,454.71	Professional		$1,023.29	$1,348.96	$2,454.71