Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,090.30 / $8,511.38	Facility		$758.58	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $1,000.00	Professional		$457.09	$562.34	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,248.07 / $10,232.93	Facility		$1,949.84	$5,248.07	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $776.25	Professional		$549.54	$660.69	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $977.24	Professional		$489.78	$691.83	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $776.25 / $2,344.23	Professional		$407.38	$776.25	$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 $478.63 / $575.44 / $645.65	Professional		$478.63	$575.44	$645.65
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 $467.74 / $660.69 / $1,047.13	Professional		$467.74	$660.69	$1,047.13