Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,290.87 / $7,762.47	Facility		$489.78	$2,290.87	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $724.44	Professional		$275.42	$398.11	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,570.88 / $6,606.93	Facility		$2,290.87	$4,570.88	$6,606.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $588.84 / $776.25	Professional		$316.23	$588.84	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $660.69	Professional		$295.12	$457.09	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $1,548.82	Professional		$316.23	$512.86	$1,548.82
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 $281.84 / $323.59 / $478.63	Professional		$281.84	$323.59	$478.63
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 $295.12 / $436.52 / $758.58	Professional		$295.12	$436.52	$758.58