Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,137.96 / $7,762.47	Facility		$354.81	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $588.84	Professional		$204.17	$316.23	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $4,466.84	Facility		$2,089.30	$3,467.37	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $524.81	Professional		$229.09	$338.84	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $616.60	Professional		$223.87	$354.81	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $426.58 / $1,230.27	Professional		$218.78	$426.58	$1,230.27
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 $239.88 / $239.88 / $398.11	Professional		$239.88	$239.88	$398.11
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 $218.78 / $338.84 / $562.34	Professional		$218.78	$338.84	$562.34