Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,548.13 / $8,709.64	Facility		$851.14	$3,548.13	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $1,174.90	Professional		$426.58	$549.54	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,128.61 / $10,000.00	Facility		$2,454.71	$5,128.61	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $933.25	Professional		$562.34	$851.14	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $933.25	Professional		$398.11	$645.65	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $741.31 / $2,137.96	Professional		$457.09	$741.31	$2,137.96
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 $537.03 / $575.44 / $616.60	Professional		$537.03	$575.44	$616.60
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 $446.68 / $588.84 / $977.24	Professional		$446.68	$588.84	$977.24