Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $3,548.13 / $9,772.37	Facility		$338.84	$3,548.13	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $407.38	Professional		$173.78	$204.17	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $10,715.19 / $14,125.38	Facility		$1,698.24	$10,715.19	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $281.84	Professional		$204.17	$239.88	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $380.19	Professional		$181.97	$257.04	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $1,071.52	Professional		$181.97	$288.40	$1,071.52
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 $186.21 / $213.80 / $234.42	Professional		$186.21	$213.80	$234.42
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 $2,570.40 / $6,918.31 / $16,982.44	Facility		$2,570.40	$6,918.31	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $398.11	Professional		$177.83	$257.04	$398.11