Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,548.13 / $9,772.37	Facility		$478.63	$3,548.13	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $575.44	Professional		$186.21	$251.19	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,235.94 / $6,309.57	Facility		$1,202.26	$3,235.94	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $446.68	Professional		$309.03	$407.38	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $512.86	Professional		$239.88	$363.08	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $1,819.70	Professional		$269.15	$416.87	$1,819.70
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 $263.03 / $316.23 / $363.08	Professional		$263.03	$316.23	$363.08
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $549.54	Professional		$229.09	$316.23	$549.54