Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,090.30 / $8,511.38	Facility		$933.25	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,445.44	Professional		$602.56	$707.95	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $8,709.64 / $16,595.87	Facility		$3,235.94	$8,709.64	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,380.38	Professional		$851.14	$1,071.52	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,445.44	Professional		$630.96	$1,023.29	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $2,691.53	Professional		$676.08	$1,148.15	$2,691.53
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 $776.25 / $870.96 / $977.24	Professional		$776.25	$870.96	$977.24
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,513.56	Professional		$660.69	$891.25	$1,513.56