Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,801.89 / $8,511.38	Facility		$1,148.15	$3,801.89	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $4,168.69	Professional		$1,819.70	$2,290.87	$4,168.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $26,915.35 / $51,286.14	Facility		$10,000.00	$26,915.35	$51,286.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $4,265.80	Professional		$1,513.56	$2,884.03	$4,265.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $8,912.51	Professional		$1,949.84	$3,235.94	$8,912.51
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 $2,344.23 / $2,511.89 / $2,754.23	Professional		$2,344.23	$2,511.89	$2,754.23
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $4,365.16	Professional		$1,949.84	$2,511.89	$4,365.16