Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,862.09 / $5,888.44	Facility		$676.08	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $1,000.00	Professional		$354.81	$446.68	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $8,912.51	Facility		$2,089.30	$2,511.89	$8,912.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $912.01	Professional		$489.78	$676.08	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $851.14	Professional		$380.19	$562.34	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $1,412.54	Professional		$436.52	$707.95	$1,412.54
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 $489.78 / $512.86 / $630.96	Professional		$489.78	$512.86	$630.96
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 $158.49 / $1,023.29 / $3,235.94	Facility		$158.49	$1,023.29	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $831.76	Professional		$354.81	$478.63	$831.76