Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.60 / $1,111.56 / $2,523.28	Facility		$641.60	$1,111.56	$2,523.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.16 / $1,442.63 / $2,523.28	Professional		$486.16	$1,442.63	$2,523.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,563.69 / $5,483.84 / $10,981.38	Facility		$2,563.69	$5,483.84	$10,981.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.73 / $1,067.80 / $2,186.65	Professional		$398.73	$1,067.80	$2,186.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.90 / $644.83 / $2,159.21	Professional		$485.90	$644.83	$2,159.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $408.62 / $1,394.97 / $3,197.65	Professional		$408.62	$1,394.97	$3,197.65
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 $356.99 / $408.62 / $1,349.22	Professional		$356.99	$408.62	$1,349.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,525.65	Professional		$32.34	$32.34	$1,525.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,248.07 / $1,998.06 / $3,099.89	Professional		$1,248.07	$1,998.06	$3,099.89