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 $1,122.02 / $1,412.54 / $2,570.40	Professional		$1,122.02	$1,412.54	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $13,489.63 / $25,703.96	Facility		$5,011.87	$13,489.63	$25,703.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,754.23	Professional		$1,258.93	$1,778.28	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $6,760.83	Professional		$1,148.15	$1,862.09	$6,760.83
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 $1,230.27 / $1,479.11 / $1,659.59	Professional		$1,230.27	$1,479.11	$1,659.59
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 $1,202.26 / $1,778.28 / $2,691.53	Professional		$1,202.26	$1,778.28	$2,691.53