Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,019.95 / $7,762.47	Facility		$436.52	$3,019.95	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $562.34	Professional		$181.97	$251.19	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,466.84 / $5,754.40	Facility		$2,089.30	$4,466.84	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $371.54	Professional		$239.88	$346.74	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $436.52	Professional		$199.53	$288.40	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $758.58	Professional		$204.17	$331.13	$758.58
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 $245.47 / $251.19 / $275.42	Professional		$245.47	$251.19	$275.42
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 $891.25 / $2,691.53 / $5,128.61	Facility		$891.25	$2,691.53	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $436.52	Professional		$199.53	$263.03	$436.52