Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,995.26 / $7,762.47	Facility		$295.12	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $338.84	Professional		$134.90	$169.82	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,019.95 / $3,981.07	Facility		$1,412.54	$3,019.95	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $338.84	Professional		$181.97	$288.40	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $331.13	Professional		$154.88	$213.80	$331.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $676.08	Professional		$158.49	$251.19	$676.08
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 $177.83 / $186.21 / $204.17	Professional		$177.83	$186.21	$204.17
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 $151.36 / $204.17 / $331.13	Professional		$151.36	$204.17	$331.13