Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $2,884.03 / $7,762.47	Facility		$323.59	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $331.13	Professional		$144.54	$173.78	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,918.31 / $9,549.93	Facility		$2,137.96	$6,918.31	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $323.59	Professional		$177.83	$316.23	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $331.13	Professional		$151.36	$218.78	$331.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $660.69	Professional		$151.36	$239.88	$660.69
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 $151.36 / $177.83 / $199.53	Professional		$151.36	$177.83	$199.53
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 / $6,456.54 / $14,791.08	Facility		$2,570.40	$6,456.54	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $323.59	Professional		$144.54	$218.78	$323.59