Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,548.13 / $8,912.51	Facility		$1,202.26	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,754.23	Professional		$1,230.27	$1,659.59	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,128.31 / $23,988.33	Facility		$5,888.44	$8,128.31	$23,988.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $2,691.53	Professional		$1,258.93	$1,995.26	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $5,623.41	Professional		$1,096.48	$2,137.96	$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 $1,412.54 / $1,737.80 / $1,995.26	Professional		$1,412.54	$1,737.80	$1,995.26
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 $2,570.40 / $6,456.54 / $14,791.08	Facility		$2,570.40	$6,456.54	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $3,019.95	Professional		$1,122.02	$1,584.89	$3,019.95