Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,862.09 / $8,511.38	Facility		$691.83	$1,862.09	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,318.26	Professional		$407.38	$602.56	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,511.38 / $10,471.29	Facility		$4,466.84	$8,511.38	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $1,071.52	Professional		$512.86	$870.96	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,071.52	Professional		$436.52	$676.08	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $1,905.46	Professional		$501.19	$812.83	$1,905.46
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 $524.81 / $549.54 / $741.31	Professional		$524.81	$549.54	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,365.16 / $7,585.78	Facility		$1,513.56	$4,365.16	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $1,047.13	Professional		$446.68	$630.96	$1,047.13