Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,128.61 / $15,135.61	Facility		$758.58	$5,128.61	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $870.96	Professional		$380.19	$457.09	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $28,183.83 / $38,018.94	Facility		$3,715.35	$28,183.83	$38,018.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $602.56	Professional		$436.52	$524.81	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $912.01	Professional		$389.05	$562.34	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $2,290.87	Professional		$354.81	$616.60	$2,290.87
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 $407.38 / $457.09 / $512.86	Professional		$407.38	$457.09	$512.86
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 $4,570.88 / $21,877.62 / $69,183.10	Facility		$4,570.88	$21,877.62	$69,183.10
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $851.14	Professional		$380.19	$588.84	$851.14