Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,090.30 / $8,511.38	Facility		$537.03	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $602.56	Professional		$218.78	$295.12	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,801.89 / $7,413.10	Facility		$1,412.54	$3,801.89	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $524.81	Professional		$316.23	$467.74	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $616.60	Professional		$281.84	$426.58	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $1,949.84	Professional		$309.03	$478.63	$1,949.84
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 $302.00 / $371.54 / $416.87	Professional		$302.00	$371.54	$416.87
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 / $3,019.95 / $7,413.10	Facility		$575.44	$3,019.95	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $645.65	Professional		$281.84	$380.19	$645.65