Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,344.23 / $7,762.47	Facility		$724.44	$2,344.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,258.93	Professional		$416.87	$602.56	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,786.30 / $8,709.64	Facility		$2,187.76	$4,786.30	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,148.15	Professional		$562.34	$758.58	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,174.90	Professional		$478.63	$776.25	$1,174.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $933.25 / $3,311.31	Professional		$537.03	$933.25	$3,311.31
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 $562.34 / $588.84 / $870.96	Professional		$562.34	$588.84	$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 $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,202.26	Professional		$489.78	$707.95	$1,202.26