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 $1,047.13 / $1,348.96 / $2,398.83	Professional		$1,047.13	$1,348.96	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $8,709.64 / $23,442.29	Facility		$5,754.40	$8,709.64	$23,442.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,584.89 / $2,398.83	Professional		$891.25	$1,584.89	$2,398.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $5,623.41	Professional		$1,148.15	$1,862.09	$5,623.41
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 $1,380.38 / $1,445.44 / $1,584.89	Professional		$1,380.38	$1,445.44	$1,584.89
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 $1,096.48 / $1,445.44 / $2,454.71	Professional		$1,096.48	$1,445.44	$2,454.71