Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,862.09 / $5,888.44	Facility		$524.81	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $794.33	Professional		$275.42	$416.87	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,128.61 / $6,918.31	Facility		$2,454.71	$5,128.61	$6,918.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $758.58	Professional		$346.74	$575.44	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $741.31	Professional		$288.40	$467.74	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,584.89	Professional		$346.74	$549.54	$1,584.89
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 $331.13 / $354.81 / $512.86	Professional		$331.13	$354.81	$512.86
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 $295.12 / $478.63 / $851.14	Professional		$295.12	$478.63	$851.14