Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,862.09 / $5,888.44	Facility		$602.56	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $1,023.29	Professional		$281.84	$478.63	$1,023.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,168.69 / $6,309.57	Facility		$3,090.30	$4,168.69	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $870.96	Professional		$407.38	$575.44	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $912.01	Professional		$323.59	$549.54	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $707.95 / $3,090.30	Professional		$346.74	$707.95	$3,090.30
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 $389.05 / $416.87 / $707.95	Professional		$389.05	$416.87	$707.95
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 $1,584.89 / $3,630.78 / $7,079.46	Facility		$1,584.89	$3,630.78	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $933.25	Professional		$316.23	$512.86	$933.25