Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,398.83 / $7,762.47	Facility		$1,023.29	$2,398.83	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $2,187.76	Professional		$1,000.00	$1,174.90	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,912.51 / $20,417.38	Facility		$7,244.36	$8,912.51	$20,417.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,238.72	Professional		$1,000.00	$1,479.11	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $6,309.57	Professional		$1,047.13	$1,737.80	$6,309.57
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 $1,258.93 / $1,380.38 / $1,513.56	Professional		$1,258.93	$1,380.38	$1,513.56
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 $2,238.72 / $5,495.41 / $12,302.69	Facility		$2,238.72	$5,495.41	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,398.83	Professional		$1,000.00	$1,412.54	$2,398.83