Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,862.09 / $5,623.41	Facility		$630.96	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $630.96 / $1,513.56	Professional		$316.23	$630.96	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $7,585.78	Facility		$2,454.71	$2,951.21	$7,585.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $977.24 / $1,621.81	Professional		$575.44	$977.24	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $741.31 / $1,479.11	Professional		$371.54	$741.31	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,258.93 / $2,754.23	Professional		$467.74	$1,258.93	$2,754.23
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 $467.74 / $562.34 / $1,258.93	Professional		$467.74	$562.34	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $1,412.54	Professional		$32.36	$32.36	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,548.13 / $6,165.95	Facility		$1,513.56	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $616.60 / $1,122.02	Professional		$346.74	$616.60	$1,122.02