Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,890.45 / $11,481.54	Facility		$1,258.93	$3,890.45	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $3,548.13	Professional		$1,348.96	$1,659.59	$3,548.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $18,620.87 / $36,307.81	Facility		$15,848.93	$18,620.87	$36,307.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $3,311.31	Professional		$1,513.56	$2,238.72	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,754.23 / $7,079.46	Professional		$1,737.80	$2,754.23	$7,079.46
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 $1,862.09 / $2,041.74 / $2,290.87	Professional		$1,862.09	$2,041.74	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,698.24	Professional		$32.36	$33.11	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $8,128.31 / $28,840.32	Facility		$1,949.84	$8,128.31	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,388.44	Professional		$1,445.44	$1,949.84	$3,388.44