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 $630.96 / $794.33 / $1,412.54	Professional		$630.96	$794.33	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,570.88 / $11,481.54	Facility		$2,818.38	$4,570.88	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,000.00	Professional		$707.95	$851.14	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,318.26	Professional		$630.96	$891.25	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $933.25 / $2,951.21	Professional		$575.44	$933.25	$2,951.21
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 / $741.31 / $831.76	Professional		$630.96	$741.31	$831.76
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 $1,698.24 / $4,365.16 / $8,912.51	Facility		$1,698.24	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,479.11	Professional		$660.69	$912.01	$1,479.11