Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,884.03 / $7,762.47	Facility		$831.76	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $1,174.90	Professional		$501.19	$602.56	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,128.61 / $12,022.64	Facility		$2,951.21	$5,128.61	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,000.00	Professional		$512.86	$724.44	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $2,884.03	Professional		$467.74	$794.33	$2,884.03
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 $575.44 / $616.60 / $660.69	Professional		$575.44	$616.60	$660.69
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 / $9,332.54	Facility		$1,698.24	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,096.48	Professional		$501.19	$691.83	$1,096.48