Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $8,511.38	Facility		$1,148.15	$3,235.94	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $3,715.35	Professional		$1,412.54	$1,862.09	$3,715.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $23,442.29 / $45,708.82	Facility		$8,709.64	$23,442.29	$45,708.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $3,548.13	Professional		$1,548.82	$2,570.40	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $8,709.64	Professional		$1,737.80	$2,884.03	$8,709.64
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 $1,862.09 / $2,238.72 / $2,630.27	Professional		$1,862.09	$2,238.72	$2,630.27
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 / $2,137.96 / $3,890.45	Professional		$1,513.56	$2,137.96	$3,890.45