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 $1,023.29 / $1,230.27 / $2,137.96	Professional		$1,023.29	$1,230.27	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $11,748.98 / $22,387.21	Facility		$4,365.16	$11,748.98	$22,387.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,290.87	Professional		$1,071.52	$1,548.82	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $4,786.30	Professional		$977.24	$1,621.81	$4,786.30
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 $1,096.48 / $1,288.25 / $1,445.44	Professional		$1,096.48	$1,288.25	$1,445.44
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 $1,023.29 / $1,513.56 / $2,290.87	Professional		$1,023.29	$1,513.56	$2,290.87