Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,187.76 / $8,912.51	Facility		$446.68	$2,187.76	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $1,023.29	Professional		$229.09	$389.05	$1,023.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,168.69 / $5,495.41	Facility		$1,778.28	$4,168.69	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $691.83	Professional		$302.00	$457.09	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $724.44	Professional		$263.03	$426.58	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $1,096.48	Professional		$295.12	$562.34	$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 $309.03 / $316.23 / $537.03	Professional		$309.03	$316.23	$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 $891.25 / $2,398.83 / $5,128.61	Facility		$891.25	$2,398.83	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $707.95	Professional		$263.03	$407.38	$707.95