Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,090.30 / $7,762.47	Facility		$588.84	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $1,047.13	Professional		$380.19	$575.44	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,128.31 / $10,232.93	Facility		$4,265.80	$8,128.31	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $954.99	Professional		$457.09	$660.69	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,000.00	Professional		$416.87	$630.96	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $1,737.80	Professional		$446.68	$758.58	$1,737.80
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 $467.74 / $489.78 / $691.83	Professional		$467.74	$489.78	$691.83
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 $457.09 / $645.65 / $1,096.48	Professional		$457.09	$645.65	$1,096.48