Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,862.09 / $5,888.44	Facility		$371.54	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $363.08 / $691.83	Professional		$162.18	$363.08	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,019.95 / $4,265.80	Facility		$954.99	$3,019.95	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $758.58	Professional		$199.53	$371.54	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $354.81 / $630.96	Professional		$173.78	$354.81	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $489.78 / $1,584.89	Professional		$204.17	$489.78	$1,584.89
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 $190.55 / $204.17 / $467.74	Professional		$190.55	$204.17	$467.74
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 $660.69 / $1,698.24 / $4,365.16	Facility		$660.69	$1,698.24	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $371.54 / $741.31	Professional		$177.83	$371.54	$741.31