Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.62 / $1,017.00 / $5,091.00	Facility		$264.62	$1,017.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.27 / $264.62 / $415.11	Professional		$140.27	$264.62	$415.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,170.47 / $2,503.67 / $5,013.60	Facility		$1,170.47	$2,503.67	$5,013.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.37 / $305.76 / $432.12	Professional		$219.37	$305.76	$432.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.21 / $311.17 / $462.76	Professional		$177.21	$311.17	$462.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $382.89 / $656.50	Professional		$215.51	$382.89	$656.50
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 $198.89 / $234.43 / $373.66	Professional		$198.89	$234.43	$373.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $431.15	Professional		$32.34	$32.34	$431.15
United Facility/Professional Facility Modifier Low / Median / High Price $613.00 / $3,064.00 / $6,650.00	Facility		$613.00	$3,064.00	$6,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.20 / $311.18 / $463.26	Professional		$169.20	$311.18	$463.26