Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,862.09 / $5,888.44	Facility		$524.81	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $812.83	Professional		$263.03	$426.58	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $6,025.60	Facility		$1,995.26	$2,398.83	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $831.76	Professional		$338.84	$489.78	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $776.25	Professional		$302.00	$467.74	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $660.69 / $1,202.26	Professional		$371.54	$660.69	$1,202.26
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 $346.74 / $363.08 / $575.44	Professional		$346.74	$363.08	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,548.13 / $6,165.95	Facility		$1,318.26	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $758.58	Professional		$295.12	$446.68	$758.58