Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,466.84 / $14,125.38	Facility		$1,318.26	$4,466.84	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $3,090.30	Professional		$1,348.96	$1,698.24	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,912.51 / $29,512.09	Facility		$7,244.36	$8,912.51	$29,512.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $3,311.31	Professional		$1,174.90	$2,137.96	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $8,317.64	Professional		$1,513.56	$2,454.71	$8,317.64
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 $1,862.09 / $1,905.46 / $2,089.30	Professional		$1,862.09	$1,905.46	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,235.94	Professional		$1,479.11	$1,949.84	$3,235.94