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 $660.69 / $812.83 / $1,412.54	Professional		$660.69	$812.83	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,762.47 / $16,982.44	Facility		$4,168.69	$7,762.47	$16,982.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,584.89	Professional		$645.65	$1,000.00	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $2,818.38	Professional		$724.44	$1,148.15	$2,818.38
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 $831.76 / $891.25 / $977.24	Professional		$831.76	$891.25	$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 $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,548.82	Professional		$724.44	$977.24	$1,548.82