Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,311.31 / $8,511.38	Facility		$1,148.15	$3,311.31	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $4,365.16	Professional		$1,548.82	$1,995.26	$4,365.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $38,018.94	Facility		$4,073.80	$5,128.61	$38,018.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,754.23 / $4,073.80	Professional		$1,548.82	$2,754.23	$4,073.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $7,585.78	Professional		$1,862.09	$3,019.95	$7,585.78
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 $1,995.26 / $2,398.83 / $2,754.23	Professional		$1,995.26	$2,398.83	$2,754.23
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 $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $4,168.69	Professional		$1,737.80	$2,398.83	$4,168.69