Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,344.23 / $5,888.44	Facility		$436.52	$2,344.23	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $2,344.23 / $5,754.40	Professional		$154.88	$2,344.23	$5,754.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $7,413.10 / $10,232.93	Facility		$1,905.46	$7,413.10	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $870.96 / $4,265.80	Professional		$208.93	$870.96	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $645.65 / $4,786.30	Professional		$199.53	$645.65	$4,786.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $3,548.13 / $12,022.64	Professional		$229.09	$3,548.13	$12,022.64
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 $204.17 / $218.78 / $3,311.31	Professional		$204.17	$218.78	$3,311.31
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 $2,041.74 / $5,370.32 / $12,302.69	Facility		$2,041.74	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $2,630.27 / $5,754.40	Professional		$194.98	$2,630.27	$5,754.40