Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,137.96 / $7,762.47	Facility		$257.04	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $512.86 / $1,445.44	Professional		$107.15	$512.86	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,238.72	Facility		$870.96	$1,071.52	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $812.83	Professional		$144.54	$213.80	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $467.74 / $1,318.26	Professional		$141.25	$467.74	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $851.14 / $2,238.72	Professional		$165.96	$851.14	$2,238.72
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 $147.91 / $154.88 / $794.33	Professional		$147.91	$154.88	$794.33
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 $588.84 / $1,445.44 / $3,801.89	Facility		$588.84	$1,445.44	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $616.60 / $1,412.54	Professional		$141.25	$616.60	$1,412.54