Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,862.09 / $8,511.38	Facility		$398.11	$1,862.09	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $436.52 / $1,047.13	Professional		$194.98	$436.52	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $4,786.30	Facility		$2,344.23	$2,951.21	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $575.44 / $1,071.52	Professional		$263.03	$575.44	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $912.01	Professional		$213.80	$407.38	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $776.25 / $1,479.11	Professional		$269.15	$776.25	$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 $239.88 / $269.15 / $741.31	Professional		$239.88	$269.15	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $776.25	Professional		$32.36	$32.36	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,897.79	Facility		$1,096.48	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $407.38 / $758.58	Professional		$208.93	$407.38	$758.58