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 / $1,318.26 / $2,398.83	Professional		$1,122.02	$1,318.26	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $19,054.61 / $36,307.81	Facility		$7,079.46	$19,054.61	$36,307.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,511.89	Professional		$1,071.52	$1,698.24	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $5,248.07	Professional		$1,230.27	$1,949.84	$5,248.07
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 / $1,513.56 / $1,659.59	Professional		$1,412.54	$1,513.56	$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 / $1,584.89 / $2,630.27	Professional		$1,202.26	$1,584.89	$2,630.27