Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.51 / $810.73 / $942.66	Facility		$778.51	$810.73	$942.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $810.01 / $940.20	Professional		$615.26	$810.01	$940.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,183.00 / $4,669.52 / $9,350.70	Facility		$2,183.00	$4,669.52	$9,350.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.89 / $587.46 / $735.44	Professional		$490.89	$587.46	$735.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.48 / $776.48 / $776.48	Professional		$776.48	$776.48	$776.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $413.51 / $677.22 / $1,744.25	Professional		$413.51	$677.22	$1,744.25
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 $426.05 / $512.75 / $575.41	Professional		$426.05	$512.75	$575.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $650.66	Professional		$32.34	$32.34	$650.66
United Facility/Professional Professional Modifier Low / Median / High Price $433.32 / $641.34 / $998.56	Professional		$433.32	$641.34	$998.56