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 / $1,380.38 / $2,398.83	Professional		$1,122.02	$1,380.38	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $17,378.01 / $33,884.42	Facility		$6,456.54	$17,378.01	$33,884.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,454.71	Professional		$1,096.48	$1,698.24	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $5,128.61	Professional		$1,202.26	$1,949.84	$5,128.61
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 / $1,621.81	Professional		$1,412.54	$1,513.56	$1,621.81
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 $1,174.90 / $1,548.82 / $2,630.27	Professional		$1,174.90	$1,548.82	$2,630.27