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 $389.05 / $501.19 / $891.25	Professional		$389.05	$501.19	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,467.37 / $8,317.64	Facility		$2,884.03	$3,467.37	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $851.14	Professional		$407.38	$588.84	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $630.96 / $1,995.26	Professional		$363.08	$630.96	$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 $467.74 / $478.63 / $588.84	Professional		$467.74	$478.63	$588.84
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 $831.76 / $2,290.87 / $5,011.87	Facility		$831.76	$2,290.87	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $851.14	Professional		$389.05	$501.19	$851.14