Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,884.03 / $7,762.47	Facility		$758.58	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $1,000.00	Professional		$380.19	$478.63	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,677.35 / $8,511.38	Facility		$2,454.71	$4,677.35	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $851.14	Professional		$537.03	$707.95	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $933.25	Professional		$407.38	$630.96	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $2,089.30	Professional		$436.52	$707.95	$2,089.30
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 / $602.56	Professional		$512.86	$549.54	$602.56
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 $426.58 / $549.54 / $933.25	Professional		$426.58	$549.54	$933.25