Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,041.74 / $7,762.47	Facility		$954.99	$2,041.74	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $1,174.90	Professional		$446.68	$602.56	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $8,128.31 / $15,488.17	Facility		$3,019.95	$8,128.31	$15,488.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $1,258.93	Professional		$537.03	$831.76	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $3,162.28	Professional		$588.84	$977.24	$3,162.28
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 $645.65 / $758.58 / $870.96	Professional		$645.65	$758.58	$870.96
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 $537.03 / $741.31 / $1,258.93	Professional		$537.03	$741.31	$1,258.93