Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,715.35 / $8,511.38	Facility		$1,148.15	$3,715.35	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $4,786.30	Professional		$1,621.81	$2,137.96	$4,786.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $26,915.35 / $51,286.14	Facility		$10,000.00	$26,915.35	$51,286.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,818.38 / $4,073.80	Professional		$1,778.28	$2,818.38	$4,073.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,467.37 / $7,762.47	Professional		$2,137.96	$3,467.37	$7,762.47
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 $2,089.30 / $2,570.40 / $2,951.21	Professional		$2,089.30	$2,570.40	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $446.68	Professional		$32.36	$32.36	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,951.21 / $7,413.10	Facility		$616.60	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $4,168.69	Professional		$1,778.28	$2,454.71	$4,168.69