Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,290.87 / $7,762.47	Facility		$645.65	$2,290.87	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $870.96 / $1,584.89	Professional		$371.54	$870.96	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,570.88 / $8,709.64	Facility		$2,290.87	$4,570.88	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $851.14 / $1,737.80	Professional		$426.58	$851.14	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $724.44 / $1,479.11	Professional		$398.11	$724.44	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,148.15 / $2,398.83	Professional		$389.05	$1,148.15	$2,398.83
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 $380.19 / $426.58 / $1,071.52	Professional		$380.19	$426.58	$1,071.52
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 $389.05 / $891.25 / $1,698.24	Professional		$389.05	$891.25	$1,698.24