Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,715.35 / $9,772.37	Facility		$1,258.93	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $3,090.30	Professional		$1,513.56	$1,905.46	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,912.51 / $33,113.11	Facility		$7,244.36	$8,912.51	$33,113.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $3,548.13	Professional		$1,513.56	$2,398.83	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $8,128.31	Professional		$1,659.59	$2,754.23	$8,128.31
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 $1,995.26 / $2,089.30 / $2,290.87	Professional		$1,995.26	$2,089.30	$2,290.87
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 $2,041.74 / $5,370.32 / $12,302.69	Facility		$2,041.74	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,467.37	Professional		$1,659.59	$2,187.76	$3,467.37