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 $575.44 / $707.95 / $1,412.54	Professional		$575.44	$707.95	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $14,454.40	Facility		$4,073.80	$5,011.87	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,202.26	Professional		$724.44	$977.24	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,380.38	Professional		$602.56	$912.01	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $3,467.37	Professional		$630.96	$1,096.48	$3,467.37
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 $645.65 / $741.31 / $831.76	Professional		$645.65	$741.31	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $660.69	Professional		$32.36	$33.11	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,079.46 / $14,454.40	Facility		$1,778.28	$7,079.46	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,412.54	Professional		$602.56	$831.76	$1,412.54