Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,090.30 / $8,511.38	Facility		$691.83	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $912.01	Professional		$416.87	$512.86	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,897.79 / $9,332.54	Facility		$1,778.28	$4,897.79	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $891.25	Professional		$457.09	$645.65	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $691.83 / $2,041.74	Professional		$407.38	$691.83	$2,041.74
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 $436.52 / $537.03 / $602.56	Professional		$436.52	$537.03	$602.56
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 $426.58 / $630.96 / $954.99	Professional		$426.58	$630.96	$954.99