Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,995.26 / $7,762.47	Facility		$275.42	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $275.42	Professional		$120.23	$141.25	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,398.83 / $3,162.28	Facility		$1,047.13	$2,398.83	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $295.12	Professional		$128.82	$186.21	$295.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $602.56	Professional		$134.90	$213.80	$602.56
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 $147.91 / $158.49 / $169.82	Professional		$147.91	$158.49	$169.82
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 $660.69 / $1,479.11 / $4,168.69	Facility		$660.69	$1,479.11	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $295.12	Professional		$128.82	$169.82	$295.12