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 / $11,220.18 / $21,877.62	Facility		$4,168.69	$11,220.18	$21,877.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $1,513.56	Professional		$870.96	$1,412.54	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,479.11	Professional		$630.96	$1,023.29	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,174.90 / $3,162.28	Professional		$724.44	$1,174.90	$3,162.28
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 $851.14 / $891.25 / $977.24	Professional		$851.14	$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 $1,288.25 / $3,388.44 / $6,165.95	Facility		$1,288.25	$3,388.44	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,548.82	Professional		$707.95	$954.99	$1,548.82