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 $1,071.52 / $1,412.54 / $2,951.21	Professional		$1,071.52	$1,412.54	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $16,218.10 / $30,902.95	Facility		$6,025.60	$16,218.10	$30,902.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $2,630.27	Professional		$1,174.90	$1,819.70	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $9,772.37	Professional		$1,348.96	$2,137.96	$9,772.37
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 $1,445.44 / $1,584.89 / $1,778.28	Professional		$1,445.44	$1,584.89	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $251.19	Professional		$32.36	$32.36	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,244.36 / $21,877.62	Facility		$2,570.40	$7,244.36	$21,877.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,630.27	Professional		$1,148.15	$1,584.89	$2,630.27