Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $8,511.38	Facility		$1,148.15	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,951.21	Professional		$1,230.27	$1,659.59	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $19,498.45 / $37,153.52	Facility		$7,079.46	$19,498.45	$37,153.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $3,090.30	Professional		$1,318.26	$2,089.30	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $6,025.60	Professional		$1,380.38	$2,344.23	$6,025.60
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 $1,548.82 / $1,819.70 / $2,041.74	Professional		$1,548.82	$1,819.70	$2,041.74
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 $1,380.38 / $1,905.46 / $3,162.28	Professional		$1,380.38	$1,905.46	$3,162.28