Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $10,000.00	Facility		$1,148.15	$3,235.94	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,630.27	Professional		$1,122.02	$1,445.44	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $16,982.44 / $32,359.37	Facility		$6,309.57	$16,982.44	$32,359.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $2,691.53	Professional		$1,148.15	$1,862.09	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $6,760.83	Professional		$1,230.27	$2,089.30	$6,760.83
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 / $1,584.89 / $1,778.28	Professional		$1,380.38	$1,584.89	$1,778.28
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 $1,288.25 / $1,659.59 / $2,754.23	Professional		$1,288.25	$1,659.59	$2,754.23