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 $1,202.26 / $1,584.89 / $3,311.31	Professional		$1,202.26	$1,584.89	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $19,952.62 / $38,904.51	Facility		$7,413.10	$19,952.62	$38,904.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $3,019.95	Professional		$1,288.25	$2,089.30	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,570.40 / $5,754.40	Professional		$1,479.11	$2,570.40	$5,754.40
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 $1,584.89 / $1,905.46 / $2,238.72	Professional		$1,584.89	$1,905.46	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $338.84	Professional		$32.36	$32.36	$338.84
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 $1,288.25 / $1,778.28 / $3,090.30	Professional		$1,288.25	$1,778.28	$3,090.30