Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,090.30 / $8,511.38	Facility		$954.99	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,737.80	Professional		$707.95	$954.99	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $12,302.69 / $23,442.29	Facility		$4,570.88	$12,302.69	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,659.59	Professional		$1,148.15	$1,513.56	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,949.84	Professional		$851.14	$1,318.26	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $3,890.45	Professional		$912.01	$1,513.56	$3,890.45
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 $1,000.00 / $1,174.90 / $1,348.96	Professional		$1,000.00	$1,174.90	$1,348.96
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $2,041.74	Professional		$870.96	$1,202.26	$2,041.74