Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,090.30 / $8,511.38	Facility		$1,202.26	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,884.03	Professional		$1,348.96	$1,659.59	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $15,488.17 / $30,199.52	Facility		$5,754.40	$15,488.17	$30,199.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,162.28	Professional		$1,445.44	$2,041.74	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $6,165.95	Professional		$1,318.26	$2,187.76	$6,165.95
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 $1,479.11 / $1,698.24 / $1,905.46	Professional		$1,479.11	$1,698.24	$1,905.46
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 / $3,090.30	Professional		$1,380.38	$1,905.46	$3,090.30