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 $1,174.90 / $1,548.82 / $3,162.28	Professional		$1,174.90	$1,548.82	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $19,498.45 / $37,153.52	Facility		$7,244.36	$19,498.45	$37,153.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $2,951.21	Professional		$1,258.93	$1,995.26	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $5,248.07	Professional		$1,513.56	$2,454.71	$5,248.07
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 $1,548.82 / $1,862.09 / $2,137.96	Professional		$1,548.82	$1,862.09	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $331.13	Professional		$32.36	$32.36	$331.13
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 $1,230.27 / $1,737.80 / $2,951.21	Professional		$1,230.27	$1,737.80	$2,951.21