Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,548.13 / $8,912.51	Facility		$812.83	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $912.01	Professional		$416.87	$501.19	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $9,332.54 / $12,022.64	Facility		$4,786.30	$9,332.54	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $891.25	Professional		$501.19	$812.83	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $891.25	Professional		$398.11	$616.60	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $2,398.83	Professional		$436.52	$707.95	$2,398.83
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 $512.86 / $549.54 / $588.84	Professional		$512.86	$549.54	$588.84
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 $1,698.24 / $5,248.07 / $9,772.37	Facility		$1,698.24	$5,248.07	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $933.25	Professional		$426.58	$549.54	$933.25