Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.00 / $740.04 / $4,403.75	Facility		$417.00	$740.04	$4,403.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.38 / $1,684.21 / $4,403.75	Professional		$327.38	$1,684.21	$4,403.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.65 / $3,663.44 / $7,336.03	Facility		$1,712.65	$3,663.44	$7,336.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.49 / $1,078.48 / $2,552.82	Professional		$268.49	$1,078.48	$2,552.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.56 / $420.11 / $2,700.49	Professional		$314.56	$420.11	$2,700.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $292.98 / $1,621.50 / $3,733.12	Professional		$292.98	$1,621.50	$3,733.12
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 $230.58 / $272.05 / $1,575.16	Professional		$230.58	$272.05	$1,575.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,781.14	Professional		$32.34	$32.34	$1,781.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,786.58 / $3,248.06 / $4,728.85	Professional		$1,786.58	$3,248.06	$4,728.85