Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,187.76 / $5,888.44	Facility		$741.31	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $891.25	Professional		$363.08	$446.68	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,128.61 / $9,332.54	Facility		$2,454.71	$5,128.61	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $912.01	Professional		$478.63	$776.25	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $812.83	Professional		$371.54	$575.44	$812.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $1,737.80	Professional		$398.11	$660.69	$1,737.80
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 $467.74 / $501.19 / $537.03	Professional		$467.74	$501.19	$537.03
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 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $891.25	Professional		$398.11	$537.03	$891.25