Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,862.09 / $5,888.44	Facility		$630.96	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $912.01	Professional		$346.74	$537.03	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $7,413.10	Facility		$2,951.21	$3,548.13	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $912.01	Professional		$398.11	$588.84	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $954.99	Professional		$363.08	$575.44	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $691.83 / $1,995.26	Professional		$363.08	$691.83	$1,995.26
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 $416.87 / $426.58 / $676.08	Professional		$416.87	$426.58	$676.08
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 $1,174.90 / $3,548.13 / $6,309.57	Facility		$1,174.90	$3,548.13	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $912.01	Professional		$346.74	$524.81	$912.01