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 / $2,754.23	Professional		$1,122.02	$1,380.38	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $16,982.44 / $32,359.37	Facility		$6,309.57	$16,982.44	$32,359.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $2,691.53	Professional		$1,202.26	$1,905.46	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $5,495.41	Professional		$1,318.26	$2,089.30	$5,495.41
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 $1,513.56 / $1,659.59 / $1,819.70	Professional		$1,513.56	$1,659.59	$1,819.70
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 $3,311.31 / $6,918.31 / $21,877.62	Facility		$3,311.31	$6,918.31	$21,877.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $2,818.38	Professional		$1,258.93	$1,621.81	$2,818.38