Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,905.46 / $6,456.54	Facility		$741.31	$1,905.46	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,778.28	Professional		$575.44	$812.83	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $12,302.69	Facility		$2,630.27	$3,235.94	$12,302.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,380.38	Professional		$794.33	$954.99	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,548.82	Professional		$616.60	$954.99	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $2,818.38	Professional		$691.83	$1,174.90	$2,818.38
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 $776.25 / $831.76 / $1,122.02	Professional		$776.25	$831.76	$1,122.02
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 $1,174.90 / $2,290.87 / $4,897.79	Facility		$1,174.90	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,513.56	Professional		$630.96	$891.25	$1,513.56