Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,884.03 / $9,332.54	Facility		$933.25	$2,884.03	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,258.93	Professional		$467.74	$616.60	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,715.19	Facility		$2,630.27	$4,786.30	$10,715.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $977.24	Professional		$630.96	$912.01	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $1,122.02	Professional		$478.63	$758.58	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $2,344.23	Professional		$537.03	$870.96	$2,344.23
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 $630.96 / $660.69 / $724.44	Professional		$630.96	$660.69	$724.44
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 $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,122.02	Professional		$524.81	$691.83	$1,122.02