Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,187.76 / $5,888.44	Facility		$524.81	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $630.96	Professional		$257.04	$316.23	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,244.36 / $9,332.54	Facility		$3,801.89	$7,244.36	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $630.96	Professional		$331.13	$537.03	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $602.56	Professional		$251.19	$389.05	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $1,258.93	Professional		$295.12	$446.68	$1,258.93
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 $323.59 / $346.74 / $380.19	Professional		$323.59	$346.74	$380.19
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 / $4,265.80 / $7,585.78	Facility		$1,288.25	$4,265.80	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $602.56	Professional		$281.84	$380.19	$602.56