Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,862.09 / $8,511.38	Facility		$776.25	$1,862.09	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,479.11	Professional		$562.34	$776.25	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $12,022.64	Facility		$3,630.78	$4,365.16	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $1,584.89	Professional		$588.84	$954.99	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,122.02 / $1,659.59	Professional		$676.08	$1,122.02	$1,659.59
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 / $812.83 / $1,122.02	Professional		$794.33	$812.83	$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 $1,584.89 / $3,630.78 / $7,079.46	Facility		$1,584.89	$3,630.78	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,621.81	Professional		$630.96	$912.01	$1,621.81