Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,621.81 / $5,623.41	Facility		$371.54	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $575.44	Professional		$165.96	$323.59	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $4,168.69	Facility		$1,737.80	$3,467.37	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $562.34	Professional		$190.55	$331.13	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $602.56	Professional		$186.21	$323.59	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $457.09 / $1,096.48	Professional		$199.53	$457.09	$1,096.48
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 $199.53 / $204.17 / $426.58	Professional		$199.53	$204.17	$426.58
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 $602.56 / $1,949.84 / $4,365.16	Facility		$602.56	$1,949.84	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $562.34	Professional		$173.78	$323.59	$562.34