Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,548.13 / $8,912.51	Facility		$1,202.26	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,754.23	Professional		$1,071.52	$1,412.54	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,709.64 / $23,988.33	Facility		$5,888.44	$8,709.64	$23,988.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,698.24 / $2,511.89	Professional		$912.01	$1,698.24	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $5,011.87	Professional		$1,202.26	$1,905.46	$5,011.87
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 $1,412.54 / $1,479.11 / $1,621.81	Professional		$1,412.54	$1,479.11	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,511.89	Professional		$1,122.02	$1,479.11	$2,511.89