Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,862.09 / $5,888.44	Facility		$812.83	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,659.59	Professional		$645.65	$812.83	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,370.32 / $14,125.38	Facility		$4,466.84	$5,370.32	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,479.11	Professional		$891.25	$1,230.27	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,659.59	Professional		$741.31	$1,071.52	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,348.96 / $3,548.13	Professional		$794.33	$1,348.96	$3,548.13
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 $891.25 / $954.99 / $1,174.90	Professional		$891.25	$954.99	$1,174.90
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 $1,862.09 / $4,365.16 / $9,332.54	Facility		$1,862.09	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,698.24	Professional		$724.44	$1,000.00	$1,698.24