Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,187.76 / $5,888.44	Facility		$741.31	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $912.01	Professional		$389.05	$489.78	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $8,709.64	Facility		$2,951.21	$3,548.13	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $724.44	Professional		$467.74	$660.69	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $812.83	Professional		$407.38	$562.34	$812.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $2,041.74	Professional		$371.54	$676.08	$2,041.74
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 $489.78 / $501.19 / $537.03	Professional		$489.78	$501.19	$537.03
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 $380.19 / $489.78 / $831.76	Professional		$380.19	$489.78	$831.76