Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,187.76 / $7,762.47	Facility		$213.80	$2,187.76	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $831.76	Professional		$194.98	$288.40	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,019.95 / $5,011.87	Facility		$1,412.54	$3,019.95	$5,011.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $478.63	Professional		$257.04	$407.38	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $436.52	Professional		$190.55	$302.00	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $891.25	Professional		$223.87	$346.74	$891.25
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 $245.47 / $263.03 / $288.40	Professional		$245.47	$263.03	$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 / $4,897.79	Facility		$891.25	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $457.09	Professional		$213.80	$288.40	$457.09