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 $1,096.48 / $1,445.44 / $3,019.95	Professional		$1,096.48	$1,445.44	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $18,197.01 / $35,481.34	Facility		$6,760.83	$18,197.01	$35,481.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $2,754.23	Professional		$1,174.90	$1,905.46	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $5,248.07	Professional		$1,445.44	$2,344.23	$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 $1,479.11 / $1,737.80 / $2,041.74	Professional		$1,479.11	$1,737.80	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $316.23	Professional		$32.36	$32.36	$316.23
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 $1,202.26 / $1,621.81 / $2,818.38	Professional		$1,202.26	$1,621.81	$2,818.38