Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $4,073.80 / $9,772.37	Facility		$537.03	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $707.95	Professional		$245.47	$302.00	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,715.35 / $7,079.46	Facility		$1,380.38	$3,715.35	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $562.34	Professional		$338.84	$467.74	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $588.84	Professional		$275.42	$407.38	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $1,778.28	Professional		$316.23	$467.74	$1,778.28
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 $316.23 / $354.81 / $389.05	Professional		$316.23	$354.81	$389.05
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 $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $602.56	Professional		$257.04	$354.81	$602.56