Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.42 / $684.39 / $1,606.23	Facility		$301.42	$684.39	$1,606.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.66 / $771.67 / $848.84	Professional		$359.66	$771.67	$848.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,477.19 / $7,382.05 / $13,667.03	Facility		$3,477.19	$7,382.05	$13,667.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $929.73 / $929.73 / $929.73	Professional		$929.73	$929.73	$929.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.36 / $495.36 / $751.11	Professional		$495.36	$495.36	$751.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,087.00 / $1,312.00	Professional		$345.40	$1,087.00	$1,312.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $883.24 / $989.23	Professional		$883.24	$883.24	$989.23