Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,290.87 / $7,762.47	Facility		$776.25	$2,290.87	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,621.81	Professional		$588.84	$776.25	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $12,589.25	Facility		$2,630.27	$3,235.94	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,412.54	Professional		$812.83	$1,000.00	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $1,584.89	Professional		$616.60	$977.24	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $2,454.71	Professional		$707.95	$1,202.26	$2,454.71
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 $794.33 / $851.14 / $1,148.15	Professional		$794.33	$851.14	$1,148.15
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 $1,479.11 / $3,548.13 / $6,165.95	Facility		$1,479.11	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,584.89	Professional		$645.65	$891.25	$1,584.89