Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,862.09 / $5,888.44	Facility		$239.88	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $380.19	Professional		$114.82	$208.93	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,677.35 / $6,456.54	Facility		$1,380.38	$4,677.35	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $389.05	Professional		$208.93	$309.03	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $398.11	Professional		$134.90	$229.09	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $309.03 / $758.58	Professional		$154.88	$309.03	$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 $144.54 / $151.36 / $288.40	Professional		$144.54	$151.36	$288.40
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 / $2,951.21 / $5,128.61	Facility		$891.25	$2,951.21	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $380.19	Professional		$131.83	$223.87	$380.19