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 $478.63 / $602.56 / $1,318.26	Professional		$478.63	$602.56	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $12,589.25	Facility		$2,511.89	$3,019.95	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,000.00	Professional		$588.84	$812.83	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,174.90	Professional		$512.86	$776.25	$1,174.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $2,570.40	Professional		$616.60	$1,047.13	$2,570.40
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 $1,096.48 / $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 $501.19 / $645.65 / $1,148.15	Professional		$501.19	$645.65	$1,148.15