Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,862.09 / $5,623.41	Facility		$537.03	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $812.83	Professional		$338.84	$426.58	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $12,302.69 / $16,218.10	Facility		$4,677.35	$12,302.69	$16,218.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $870.96	Professional		$724.44	$724.44	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $831.76	Professional		$371.54	$562.34	$831.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,698.24	Professional		$398.11	$645.65	$1,698.24
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 $407.38 / $436.52 / $575.44	Professional		$407.38	$436.52	$575.44
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 $1,288.25 / $4,365.16 / $8,511.38	Facility		$1,288.25	$4,365.16	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $891.25	Professional		$371.54	$524.81	$891.25