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 $1,202.26 / $1,445.44 / $2,630.27	Professional		$1,202.26	$1,445.44	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $13,803.84 / $26,302.68	Facility		$5,128.61	$13,803.84	$26,302.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,818.38	Professional		$1,288.25	$1,819.70	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $5,623.41	Professional		$1,174.90	$1,949.84	$5,623.41
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 $1,318.26 / $1,513.56 / $1,698.24	Professional		$1,318.26	$1,513.56	$1,698.24
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 $1,230.27 / $1,737.80 / $2,754.23	Professional		$1,230.27	$1,737.80	$2,754.23