Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,187.76 / $7,762.47	Facility		$776.25	$2,187.76	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,698.24	Professional		$645.65	$794.33	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,232.93 / $19,498.45	Facility		$3,801.89	$10,232.93	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,548.82	Professional		$933.25	$1,288.25	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,548.82	Professional		$741.31	$1,071.52	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,445.44 / $4,073.80	Professional		$812.83	$1,445.44	$4,073.80
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 $851.14 / $954.99 / $1,071.52	Professional		$851.14	$954.99	$1,071.52
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 $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,513.56	Professional		$660.69	$912.01	$1,513.56