Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,454.71 / $7,762.47	Facility		$630.96	$2,454.71	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,258.93 / $2,454.71	Professional		$363.08	$1,258.93	$2,454.71
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 / $1,288.25 / $2,951.21	Professional		$426.58	$1,288.25	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $812.83 / $2,398.83	Professional		$389.05	$812.83	$2,398.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,949.84 / $3,548.13	Professional		$389.05	$1,949.84	$3,548.13
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 / $1,819.70	Professional		$380.19	$426.58	$1,819.70
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 $371.54 / $1,202.26 / $2,691.53	Professional		$371.54	$1,202.26	$2,691.53