Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $3,090.30 / $8,511.38	Facility		$346.74	$3,090.30	$8,511.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	52	$1,348.96	$1,348.96	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $562.34 / $1,047.13	Professional		$194.98	$562.34	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,466.84 / $5,754.40	Facility		$1,096.48	$4,466.84	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $602.56 / $1,202.26	Professional		$213.80	$602.56	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $436.52 / $1,047.13	Professional		$213.80	$436.52	$1,047.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $812.83 / $1,698.24	Professional		$223.87	$812.83	$1,698.24
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 $208.93 / $223.87 / $741.31	Professional		$208.93	$223.87	$741.31
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 $1,698.24 / $4,365.16 / $8,912.51	Facility		$1,698.24	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $575.44 / $1,174.90	Professional		$204.17	$575.44	$1,174.90