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 / $8,511.38	Facility		$1,148.15	$3,235.94	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $3,235.94	Professional		$1,380.38	$1,698.24	$3,235.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $15,848.93 / $30,902.95	Facility		$5,888.44	$15,848.93	$30,902.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,388.44	Professional		$1,479.11	$2,238.72	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,344.23 / $7,762.47	Professional		$1,258.93	$2,344.23	$7,762.47
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 $1,513.56 / $1,737.80 / $1,949.84	Professional		$1,513.56	$1,737.80	$1,949.84
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 $1,445.44 / $2,344.23 / $3,467.37	Professional		$1,445.44	$2,344.23	$3,467.37