Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,187.76 / $7,762.47	Facility		$891.25	$2,187.76	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $1,096.48	Professional		$478.63	$575.44	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,677.35 / $12,022.64	Facility		$2,951.21	$4,677.35	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,122.02	Professional		$588.84	$1,047.13	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $977.24	Professional		$501.19	$707.95	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $758.58 / $2,511.89	Professional		$457.09	$758.58	$2,511.89
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 $512.86 / $602.56 / $676.08	Professional		$512.86	$602.56	$676.08
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 $478.63 / $724.44 / $1,071.52	Professional		$478.63	$724.44	$1,071.52