Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,073.80 / $9,772.37	Facility		$1,122.02	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,344.23	Professional		$1,023.29	$1,258.93	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,511.38 / $21,877.62	Facility		$5,370.32	$8,511.38	$21,877.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $2,454.71	Professional		$1,047.13	$1,659.59	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $5,128.61	Professional		$1,174.90	$1,862.09	$5,128.61
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 $1,380.38 / $1,445.44 / $1,584.89	Professional		$1,380.38	$1,445.44	$1,584.89
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 $1,148.15 / $1,479.11 / $2,454.71	Professional		$1,148.15	$1,479.11	$2,454.71