Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,187.76 / $7,762.47	Facility		$724.44	$2,187.76	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $1,995.26	Professional		$389.05	$602.56	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $10,000.00	Facility		$2,089.30	$2,511.89	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $933.25	Professional		$549.54	$758.58	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $933.25	Professional		$407.38	$630.96	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $2,187.76	Professional		$489.78	$812.83	$2,187.76
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 $549.54 / $575.44 / $630.96	Professional		$549.54	$575.44	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,786.30	Facility		$1,096.48	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $933.25	Professional		$398.11	$537.03	$933.25