Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,041.74 / $7,762.47	Facility		$602.56	$2,041.74	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,071.52 / $2,454.71	Professional		$354.81	$1,071.52	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,128.31 / $10,232.93	Facility		$4,466.84	$8,128.31	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,148.15 / $2,398.83	Professional		$407.38	$1,148.15	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $724.44 / $1,905.46	Professional		$380.19	$724.44	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,584.89 / $3,981.07	Professional		$380.19	$1,584.89	$3,981.07
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 $363.08 / $416.87 / $1,479.11	Professional		$363.08	$416.87	$1,479.11
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 $2,570.40 / $6,456.54 / $14,791.08	Facility		$2,570.40	$6,456.54	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $954.99 / $1,995.26	Professional		$363.08	$954.99	$1,995.26