Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,073.80 / $9,772.37	Facility		$870.96	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $1,096.48	Professional		$407.38	$512.86	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $10,471.29 / $12,589.25	Facility		$5,128.61	$10,471.29	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $977.24	Professional		$575.44	$794.33	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $977.24	Professional		$436.52	$645.65	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $2,089.30	Professional		$501.19	$812.83	$2,089.30
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 $562.34 / $602.56 / $660.69	Professional		$562.34	$602.56	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,365.16 / $7,585.78	Facility		$1,513.56	$4,365.16	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $954.99	Professional		$416.87	$562.34	$954.99