Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,090.30 / $8,511.38	Facility		$933.25	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,659.59	Professional		$645.65	$776.25	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $18,197.01 / $22,387.21	Facility		$8,128.31	$18,197.01	$22,387.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,513.56	Professional		$912.01	$1,258.93	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,548.82	Professional		$691.83	$1,047.13	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $3,235.94	Professional		$794.33	$1,258.93	$3,235.94
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 $870.96 / $933.25 / $1,047.13	Professional		$870.96	$933.25	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $794.33	Professional		$32.36	$33.11	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,244.36 / $16,982.44	Facility		$1,778.28	$7,244.36	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,513.56	Professional		$660.69	$870.96	$1,513.56