Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,862.09 / $5,888.44	Facility		$234.42	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $363.08	Professional		$128.82	$169.82	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,168.69 / $5,495.41	Facility		$1,621.81	$4,168.69	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $331.13	Professional		$173.78	$275.42	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $323.59	Professional		$147.91	$213.80	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $630.96	Professional		$173.78	$257.04	$630.96
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 $173.78 / $181.97 / $239.88	Professional		$173.78	$181.97	$239.88
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 $134.90 / $186.21 / $316.23	Professional		$134.90	$186.21	$316.23