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 $645.65 / $831.76 / $1,698.24	Professional		$645.65	$831.76	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $9,772.37 / $19,054.61	Facility		$3,630.78	$9,772.37	$19,054.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $1,412.54	Professional		$891.25	$1,288.25	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,737.80	Professional		$724.44	$1,071.52	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $3,235.94	Professional		$707.95	$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 $812.83 / $912.01 / $1,023.29	Professional		$812.83	$912.01	$1,023.29
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 $741.31 / $977.24 / $1,621.81	Professional		$741.31	$977.24	$1,621.81