Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,548.13 / $8,912.51	Facility		$870.96	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $1,071.52	Professional		$436.52	$537.03	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,128.61 / $11,220.18	Facility		$2,754.23	$5,128.61	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,000.00	Professional		$575.44	$912.01	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $977.24	Professional		$426.58	$676.08	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $2,089.30	Professional		$478.63	$776.25	$2,089.30
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 $562.34 / $588.84 / $645.65	Professional		$562.34	$588.84	$645.65
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 $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,023.29	Professional		$467.74	$630.96	$1,023.29