Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,995.26 / $7,762.47	Facility		$501.19	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $549.54	Professional		$239.88	$281.84	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,762.47 / $10,471.29	Facility		$2,511.89	$7,762.47	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $5,248.07	Facility		$398.11	$588.84	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $575.44	Professional		$251.19	$354.81	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $933.25 / $1,621.81	Professional		$281.84	$933.25	$1,621.81
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 $302.00 / $323.59 / $354.81	Professional		$302.00	$323.59	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,818.38 / $5,128.61	Facility		$891.25	$2,818.38	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $549.54	Professional		$245.47	$338.84	$549.54