Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,862.09 / $5,888.44	Facility		$630.96	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $933.25	Professional		$346.74	$501.19	$933.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,786.30 / $7,244.36	Facility		$2,089.30	$4,786.30	$7,244.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $891.25	Professional		$436.52	$630.96	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $891.25	Professional		$371.54	$602.56	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $1,621.81	Professional		$407.38	$707.95	$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 $436.52 / $457.09 / $660.69	Professional		$436.52	$457.09	$660.69
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 $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $891.25	Professional		$363.08	$524.81	$891.25