Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,884.03 / $7,762.47	Facility		$691.83	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $870.96	Professional		$302.00	$380.19	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $8,128.31	Facility		$2,089.30	$2,511.89	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $741.31	Professional		$446.68	$616.60	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $741.31	Professional		$338.84	$512.86	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,621.81	Professional		$389.05	$630.96	$1,621.81
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 $426.58 / $467.74 / $512.86	Professional		$426.58	$467.74	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $446.68	Professional		$32.36	$32.36	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,513.56 / $4,168.69	Facility		$741.31	$1,513.56	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $758.58	Professional		$323.59	$426.58	$758.58