Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,862.09 / $5,888.44	Facility		$288.40	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $416.87	Professional		$158.49	$213.80	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,168.69 / $5,495.41	Facility		$1,949.84	$4,168.69	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $426.58	Professional		$208.93	$331.13	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $416.87	Professional		$177.83	$275.42	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $954.99	Professional		$213.80	$338.84	$954.99
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 $204.17 / $218.78 / $309.03	Professional		$204.17	$218.78	$309.03
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 $173.78 / $234.42 / $398.11	Professional		$173.78	$234.42	$398.11