Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,344.23 / $7,762.47	Facility		$758.58	$2,344.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $1,071.52	Professional		$416.87	$537.03	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,000.00 / $12,882.50	Facility		$4,570.88	$10,000.00	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $933.25	Professional		$588.84	$794.33	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,000.00	Professional		$446.68	$691.83	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $2,041.74	Professional		$501.19	$794.33	$2,041.74
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 $588.84 / $616.60 / $676.08	Professional		$588.84	$616.60	$676.08
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 $2,089.30 / $6,165.95 / $12,302.69	Facility		$2,089.30	$6,165.95	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,023.29	Professional		$478.63	$616.60	$1,023.29