Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,090.30 / $7,762.47	Facility		$676.08	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,202.26	Professional		$436.52	$645.65	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $9,120.11	Facility		$2,951.21	$3,548.13	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,047.13	Professional		$489.78	$758.58	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,122.02	Professional		$467.74	$691.83	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $851.14 / $1,995.26	Professional		$446.68	$851.14	$1,995.26
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 $512.86 / $524.81 / $794.33	Professional		$512.86	$524.81	$794.33
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 $1,174.90 / $3,548.13 / $6,309.57	Facility		$1,174.90	$3,548.13	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $1,096.48	Professional		$467.74	$645.65	$1,096.48