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 $1,348.96 / $1,621.81 / $3,019.95	Professional		$1,348.96	$1,621.81	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $25,118.86 / $47,863.01	Facility		$9,120.11	$25,118.86	$47,863.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $3,311.31	Professional		$1,318.26	$2,187.76	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $6,309.57	Professional		$1,479.11	$2,454.71	$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 $1,659.59 / $1,905.46 / $2,137.96	Professional		$1,659.59	$1,905.46	$2,137.96
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 $1,479.11 / $1,905.46 / $3,311.31	Professional		$1,479.11	$1,905.46	$3,311.31