Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,467.37 / $8,511.38	Facility		$1,148.15	$3,467.37	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $3,890.45	Professional		$1,737.80	$2,187.76	$3,890.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $20,892.96 / $39,810.72	Facility		$7,762.47	$20,892.96	$39,810.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $3,801.89	Professional		$1,949.84	$2,754.23	$3,801.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $8,511.38	Professional		$1,737.80	$2,884.03	$8,511.38
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 $1,905.46 / $2,290.87 / $2,570.40	Professional		$1,905.46	$2,290.87	$2,570.40
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 $1,862.09 / $2,691.53 / $4,073.80	Professional		$1,862.09	$2,691.53	$4,073.80