Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,041.74 / $5,888.44	Facility		$245.47	$2,041.74	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $389.05	Professional		$114.82	$147.91	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,073.80 / $5,495.41	Facility		$1,479.11	$4,073.80	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $257.04	Professional		$162.18	$213.80	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $281.84	Professional		$134.90	$190.55	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $676.08	Professional		$141.25	$223.87	$676.08
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 $151.36 / $165.96 / $181.97	Professional		$151.36	$165.96	$181.97
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 $138.04 / $177.83 / $288.40	Professional		$138.04	$177.83	$288.40