Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,137.96 / $7,762.47	Facility		$512.86	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $870.96	Professional		$302.00	$426.58	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $6,309.57	Facility		$2,570.40	$3,090.30	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $776.25	Professional		$407.38	$588.84	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $831.76	Professional		$338.84	$524.81	$831.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $2,041.74	Professional		$363.08	$645.65	$2,041.74
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 $416.87 / $426.58 / $616.60	Professional		$416.87	$426.58	$616.60
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 / $2,290.87 / $4,897.79	Facility		$1,174.90	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $851.14	Professional		$331.13	$478.63	$851.14