Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,884.03 / $9,772.37	Facility		$724.44	$2,884.03	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $831.76	Professional		$398.11	$467.74	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $28,183.83 / $38,018.94	Facility		$3,890.45	$28,183.83	$38,018.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $794.33	Professional		$398.11	$575.44	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $630.96 / $1,737.80	Professional		$354.81	$630.96	$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 $416.87 / $478.63 / $524.81	Professional		$416.87	$478.63	$524.81
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 $4,570.88 / $21,877.62 / $69,183.10	Facility		$4,570.88	$21,877.62	$69,183.10
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $870.96	Professional		$398.11	$575.44	$870.96