Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,041.74 / $7,762.47	Facility		$831.76	$2,041.74	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $1,023.29	Professional		$389.05	$524.81	$1,023.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,918.31 / $13,489.63	Facility		$2,570.40	$6,918.31	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $891.25	Professional		$645.65	$870.96	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,096.48	Professional		$478.63	$741.31	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $831.76 / $3,090.30	Professional		$501.19	$831.76	$3,090.30
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 $562.34 / $660.69 / $741.31	Professional		$562.34	$660.69	$741.31
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 $891.25 / $2,137.96 / $4,570.88	Facility		$891.25	$2,137.96	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,122.02	Professional		$489.78	$660.69	$1,122.02