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 $1,445.44 / $1,737.80 / $3,235.94	Professional		$1,445.44	$1,737.80	$3,235.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $26,915.35 / $51,286.14	Facility		$9,772.37	$26,915.35	$51,286.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $3,311.31	Professional		$1,412.54	$2,290.87	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $7,413.10	Professional		$1,584.89	$2,630.27	$7,413.10
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 $1,778.28 / $2,041.74 / $2,290.87	Professional		$1,778.28	$2,041.74	$2,290.87
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 $1,513.56 / $1,995.26 / $3,548.13	Professional		$1,513.56	$1,995.26	$3,548.13