Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,862.09 / $5,888.44	Facility		$776.25	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $1,318.26	Professional		$501.19	$741.31	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $10,471.29	Facility		$2,951.21	$3,548.13	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,202.26	Professional		$562.34	$870.96	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,288.25	Professional		$512.86	$776.25	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $912.01 / $2,344.23	Professional		$501.19	$912.01	$2,344.23
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 $588.84 / $602.56 / $891.25	Professional		$588.84	$602.56	$891.25
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 $831.76 / $2,290.87 / $5,011.87	Facility		$831.76	$2,290.87	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,258.93	Professional		$489.78	$741.31	$1,258.93