Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,344.23 / $5,888.44	Facility		$446.68	$2,344.23	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $1,380.38 / $3,467.37	Professional		$218.78	$1,380.38	$3,467.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,019.95 / $5,248.07	Facility		$1,412.54	$3,019.95	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $812.83 / $3,630.78	Professional		$239.88	$812.83	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $3,019.95 / $4,265.80	Professional		$295.12	$3,019.95	$4,265.80
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 $263.03 / $281.84 / $2,951.21	Professional		$263.03	$281.84	$2,951.21
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 $891.25 / $2,238.72 / $4,897.79	Facility		$891.25	$2,238.72	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,548.82 / $3,548.13	Professional		$251.19	$1,548.82	$3,548.13