Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $646.98 / $1,510.57	Facility		$365.10	$646.98	$1,510.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.33 / $848.58 / $1,515.69	Professional		$285.33	$848.58	$1,515.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,493.83 / $3,195.36 / $6,398.70	Facility		$1,493.83	$3,195.36	$6,398.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.01 / $626.34 / $1,286.23	Professional		$234.01	$626.34	$1,286.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $367.68 / $1,280.50	Professional		$276.45	$367.68	$1,280.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $256.13 / $818.25 / $1,880.92	Professional		$256.13	$818.25	$1,880.92
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 $203.27 / $237.84 / $793.64	Professional		$203.27	$237.84	$793.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $897.42	Professional		$32.34	$32.34	$897.42
United Facility/Professional Professional Modifier Low / Median / High Price $766.90 / $1,280.42 / $1,840.97	Professional		$766.90	$1,280.42	$1,840.97