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 $660.69 / $870.96 / $1,548.82	Professional		$660.69	$870.96	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,000.00 / $19,498.45	Facility		$3,715.35	$10,000.00	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $1,412.54	Professional		$912.01	$1,318.26	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,621.81	Professional		$691.83	$1,096.48	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $3,235.94	Professional		$724.44	$1,202.26	$3,235.94
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 $831.76 / $933.25 / $1,047.13	Professional		$831.76	$933.25	$1,047.13
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,621.81	Professional		$724.44	$954.99	$1,621.81