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 $1,288.25 / $1,584.89 / $2,884.03	Professional		$1,288.25	$1,584.89	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $15,135.61 / $28,840.32	Facility		$5,623.41	$15,135.61	$28,840.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,818.38	Professional		$1,412.54	$1,995.26	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $7,244.36	Professional		$1,258.93	$2,089.30	$7,244.36
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 $1,412.54 / $1,659.59 / $1,862.09	Professional		$1,412.54	$1,659.59	$1,862.09
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 $1,348.96 / $1,862.09 / $2,951.21	Professional		$1,348.96	$1,862.09	$2,951.21