Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,884.03 / $8,317.64	Facility		$501.19	$2,884.03	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $691.83	Professional		$245.47	$331.13	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,019.95 / $6,165.95	Facility		$1,548.82	$3,019.95	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $602.56	Professional		$316.23	$512.86	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $549.54	Professional		$239.88	$371.54	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $1,445.44	Professional		$281.84	$436.52	$1,445.44
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 $309.03 / $331.13 / $363.08	Professional		$309.03	$331.13	$363.08
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 / $3,548.13 / $6,165.95	Facility		$1,288.25	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $602.56	Professional		$269.15	$363.08	$602.56