Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,090.30 / $9,332.54	Facility		$831.76	$3,090.30	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $1,122.02	Professional		$398.11	$501.19	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $10,232.93	Facility		$4,073.80	$4,897.79	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $933.25	Professional		$562.34	$562.34	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $954.99	Professional		$436.52	$645.65	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $1,995.26	Professional		$489.78	$776.25	$1,995.26
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 / $575.44 / $645.65	Professional		$524.81	$575.44	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $537.03	Professional		$32.36	$33.11	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $12,302.69	Facility		$1,288.25	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $933.25	Professional		$416.87	$575.44	$933.25