Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,698.24 / $5,623.41	Facility		$512.86	$1,698.24	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $812.83	Professional		$239.88	$389.05	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,174.90 / $5,370.32	Facility		$954.99	$1,174.90	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $741.31	Professional		$346.74	$501.19	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $794.33	Professional		$295.12	$467.74	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $1,479.11	Professional		$331.13	$588.84	$1,479.11
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 $331.13 / $363.08 / $588.84	Professional		$331.13	$363.08	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $2,344.23	Facility		$158.49	$758.58	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $794.33	Professional		$281.84	$436.52	$794.33