Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,238.72 / $7,762.47	Facility		$741.31	$2,238.72	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $1,071.52	Professional		$426.58	$524.81	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $9,120.11	Facility		$2,570.40	$3,235.94	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,071.52	Professional		$691.83	$870.96	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $1,071.52	Professional		$436.52	$691.83	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $3,715.35	Professional		$524.81	$831.76	$3,715.35
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 $616.60 / $630.96 / $758.58	Professional		$616.60	$630.96	$758.58
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 $467.74 / $630.96 / $1,122.02	Professional		$467.74	$630.96	$1,122.02