Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.25 / $640.83 / $2,204.61	Facility		$355.25	$640.83	$2,204.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.68 / $471.22 / $642.25	Professional		$296.68	$471.22	$642.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.28 / $1,927.26 / $5,361.36	Facility		$926.28	$1,927.26	$5,361.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.66 / $517.79 / $750.94	Professional		$430.66	$517.79	$750.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.73 / $410.73 / $410.73	Professional		$410.73	$410.73	$410.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $935.40 / $1,502.31 / $2,844.30	Professional		$935.40	$1,502.31	$2,844.30
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 $1,105.47 / $1,150.83 / $1,234.18	Professional		$1,105.47	$1,150.83	$1,234.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $867.24 / $1,356.77 / $2,017.58	Facility		$867.24	$1,356.77	$2,017.58
United Facility/Professional Professional Modifier Low / Median / High Price $369.92 / $479.43 / $739.42	Professional		$369.92	$479.43	$739.42