Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,949.84 / $5,623.41	Facility		$758.58	$1,949.84	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,548.82	Professional		$537.03	$741.31	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $11,220.18	Facility		$2,630.27	$3,235.94	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,288.25	Professional		$724.44	$891.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,412.54	Professional		$602.56	$870.96	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $2,290.87	Professional		$645.65	$1,096.48	$2,290.87
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 $724.44 / $758.58 / $1,047.13	Professional		$724.44	$758.58	$1,047.13
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 $588.84 / $831.76 / $1,445.44	Professional		$588.84	$831.76	$1,445.44