Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,041.74 / $7,762.47	Facility		$309.03	$2,041.74	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $457.09	Professional		$151.36	$208.93	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,981.07 / $5,011.87	Facility		$1,778.28	$3,981.07	$5,011.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $354.81	Professional		$223.87	$302.00	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $371.54	Professional		$169.82	$263.03	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $758.58	Professional		$194.98	$302.00	$758.58
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 $213.80 / $229.09 / $251.19	Professional		$213.80	$229.09	$251.19
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 / $2,398.83 / $5,128.61	Facility		$891.25	$2,398.83	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $380.19	Professional		$173.78	$229.09	$380.19