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 $1,230.27 / $1,548.82 / $2,691.53	Professional		$1,230.27	$1,548.82	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $14,791.08 / $28,183.83	Facility		$5,495.41	$14,791.08	$28,183.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $2,691.53	Professional		$1,348.96	$1,949.84	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $6,025.60	Professional		$1,230.27	$2,041.74	$6,025.60
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 $1,348.96 / $1,621.81 / $1,819.70	Professional		$1,348.96	$1,621.81	$1,819.70
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 $1,318.26 / $1,905.46 / $2,884.03	Professional		$1,318.26	$1,905.46	$2,884.03