Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.90 / $1,389.80 / $5,324.02	Facility		$783.90	$1,389.80	$5,324.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.86 / $3,325.45 / $5,552.46	Professional		$612.86	$3,325.45	$5,552.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,675.08 / $7,845.26 / $12,357.61	Facility		$4,675.08	$7,845.26	$12,357.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.63 / $2,025.28 / $5,040.51	Professional		$502.63	$2,025.28	$5,040.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.66 / $792.88 / $5,297.47	Professional		$608.66	$792.88	$5,297.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $510.90 / $3,203.34 / $5,670.53	Professional		$510.90	$3,203.34	$5,670.53
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 $438.37 / $510.90 / $3,110.13	Professional		$438.37	$510.90	$3,110.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,253.68	Professional		$32.34	$32.34	$3,253.68
United Facility/Professional Professional Modifier Low / Median / High Price $2,941.94 / $4,474.77 / $7,025.58	Professional		$2,941.94	$4,474.77	$7,025.58