Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,621.81 / $5,623.41	Facility		$537.03	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $851.14	Professional		$323.59	$467.74	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $7,244.36	Facility		$2,951.21	$3,548.13	$7,244.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $758.58	Professional		$389.05	$602.56	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $794.33	Professional		$331.13	$512.86	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $1,122.02	Professional		$323.59	$588.84	$1,122.02
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 $407.38 / $416.87 / $575.44	Professional		$407.38	$416.87	$575.44
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 $331.13 / $446.68 / $758.58	Professional		$331.13	$446.68	$758.58