Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,090.30 / $5,888.44	Facility		$1,071.52	$3,090.30	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,467.37	Professional		$1,513.56	$1,995.26	$3,467.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,912.51 / $33,884.42	Facility		$7,244.36	$8,912.51	$33,884.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $3,630.78	Professional		$1,348.96	$2,344.23	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $8,709.64	Professional		$1,698.24	$2,754.23	$8,709.64
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 $2,041.74 / $2,089.30 / $2,344.23	Professional		$2,041.74	$2,089.30	$2,344.23
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 $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 $1,659.59 / $2,187.76 / $3,630.78	Professional		$1,659.59	$2,187.76	$3,630.78