Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,630.27 / $8,511.38	Facility		$676.08	$2,630.27	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,174.90	Professional		$446.68	$645.65	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,511.38 / $10,964.78	Facility		$4,265.80	$8,511.38	$10,964.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $1,122.02	Professional		$549.54	$870.96	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,202.26	Professional		$478.63	$776.25	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $891.25 / $2,089.30	Professional		$537.03	$891.25	$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 / $575.44 / $812.83	Professional		$562.34	$575.44	$812.83
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 $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,230.27	Professional		$512.86	$707.95	$1,230.27