Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,862.09 / $5,888.44	Facility		$630.96	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,071.52	Professional		$323.59	$501.19	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $7,244.36	Facility		$524.81	$707.95	$7,244.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,000.00	Professional		$467.74	$676.08	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $630.96 / $1,000.00	Professional		$380.19	$630.96	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $776.25 / $2,089.30	Professional		$426.58	$776.25	$2,089.30
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 $457.09 / $489.78 / $776.25	Professional		$457.09	$489.78	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $1,047.13	Professional		$354.81	$562.34	$1,047.13