Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,715.35 / $9,772.37	Facility		$426.58	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $457.09	Professional		$181.97	$213.80	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $3,801.89	Facility		$1,202.26	$2,238.72	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $407.38	Professional		$245.47	$316.23	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $489.78	Professional		$208.93	$316.23	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $2,041.74	Professional		$218.78	$346.74	$2,041.74
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 $229.09 / $257.04 / $288.40	Professional		$229.09	$257.04	$288.40
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 $891.25 / $2,290.87 / $4,786.30	Facility		$891.25	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $501.19	Professional		$204.17	$323.59	$501.19