Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,570.40 / $7,762.47	Facility		$407.38	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $398.11	Professional		$173.78	$194.98	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,495.41 / $7,413.10	Facility		$2,041.74	$5,495.41	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $371.54	Professional		$218.78	$281.84	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $426.58	Professional		$199.53	$275.42	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $977.24	Professional		$199.53	$316.23	$977.24
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 $218.78 / $234.42 / $257.04	Professional		$218.78	$234.42	$257.04
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 $2,041.74 / $5,370.32 / $12,302.69	Facility		$2,041.74	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $436.52	Professional		$190.55	$269.15	$436.52