Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,187.76 / $5,888.44	Facility		$794.33	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,148.15	Professional		$436.52	$562.34	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $9,772.37	Facility		$1,905.46	$2,398.83	$9,772.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $1,096.48	Professional		$512.86	$831.76	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $660.69 / $1,000.00	Professional		$389.05	$660.69	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $2,041.74	Professional		$478.63	$758.58	$2,041.74
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 $575.44 / $588.84 / $660.69	Professional		$575.44	$588.84	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,290.87 / $4,786.30	Facility		$891.25	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $977.24	Professional		$457.09	$588.84	$977.24