Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,570.40 / $7,762.47	Facility		$389.05	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $407.38	Professional		$173.78	$218.78	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,912.51 / $12,022.64	Facility		$2,187.76	$8,912.51	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $346.74	Professional		$213.80	$309.03	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $467.74	Professional		$199.53	$281.84	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $1,000.00	Professional		$194.98	$316.23	$1,000.00
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 $223.87 / $234.42 / $245.47	Professional		$223.87	$234.42	$245.47
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 $1,584.89 / $5,495.41 / $9,772.37	Facility		$1,584.89	$5,495.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $446.68	Professional		$199.53	$295.12	$446.68