Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,187.76 / $5,888.44	Facility		$933.25	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $1,318.26	Professional		$489.78	$616.60	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $12,882.50	Facility		$4,073.80	$4,897.79	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,174.90	Professional		$707.95	$977.24	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,202.26	Professional		$537.03	$794.33	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $2,511.89	Professional		$616.60	$977.24	$2,511.89
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 $676.08 / $724.44 / $812.83	Professional		$676.08	$724.44	$812.83
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 $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,202.26	Professional		$524.81	$691.83	$1,202.26