Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,737.80 / $5,888.44	Facility		$630.96	$1,737.80	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,122.02	Professional		$426.58	$645.65	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $9,332.54	Facility		$2,951.21	$3,548.13	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,047.13	Professional		$501.19	$776.25	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,122.02	Professional		$478.63	$691.83	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $870.96 / $2,089.30	Professional		$446.68	$870.96	$2,089.30
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 $524.81 / $537.03 / $794.33	Professional		$524.81	$537.03	$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 $457.09 / $660.69 / $1,096.48	Professional		$457.09	$660.69	$1,096.48