Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,570.40 / $7,762.47	Facility		$446.68	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $588.84	Professional		$218.78	$275.42	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,677.35 / $6,025.60	Facility		$2,454.71	$4,677.35	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $489.78	Professional		$309.03	$416.87	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $549.54	Professional		$251.19	$371.54	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $1,412.54	Professional		$269.15	$416.87	$1,412.54
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 $295.12 / $316.23 / $354.81	Professional		$295.12	$316.23	$354.81
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 $257.04 / $331.13 / $537.03	Professional		$257.04	$331.13	$537.03