Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,884.03 / $7,762.47	Facility		$977.24	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,318.26	Professional		$524.81	$660.69	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,677.35 / $12,022.64	Facility		$2,951.21	$4,677.35	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,174.90	Professional		$741.31	$1,000.00	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,258.93	Professional		$524.81	$870.96	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $2,691.53	Professional		$616.60	$977.24	$2,691.53
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 $724.44 / $776.25 / $851.14	Professional		$724.44	$776.25	$851.14
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 $562.34 / $724.44 / $1,288.25	Professional		$562.34	$724.44	$1,288.25