Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.80 / $1,017.00 / $5,091.00	Facility		$315.80	$1,017.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $289.94 / $541.22	Professional		$141.13	$289.94	$541.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $904.78 / $1,935.36 / $3,875.55	Facility		$904.78	$1,935.36	$3,875.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.18 / $360.93 / $595.39	Professional		$188.18	$360.93	$595.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.97 / $325.14 / $609.74	Professional		$171.97	$325.14	$609.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $219.13 / $504.36 / $1,659.46	Professional		$219.13	$504.36	$1,659.46
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 $186.39 / $196.11 / $445.03	Professional		$186.39	$196.11	$445.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $503.23	Professional		$32.34	$32.34	$503.23
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.50 / $473.37 / $742.08	Professional		$351.50	$473.37	$742.08