Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,187.76 / $6,918.31	Facility		$707.95	$2,187.76	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $870.96	Professional		$316.23	$407.38	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,677.35 / $9,120.11	Facility		$1,737.80	$4,677.35	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $676.08	Professional		$436.52	$602.56	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $758.58	Professional		$371.54	$537.03	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,584.89	Professional		$389.05	$630.96	$1,584.89
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 $416.87 / $467.74 / $512.86	Professional		$416.87	$467.74	$512.86
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 $338.84 / $467.74 / $776.25	Professional		$338.84	$467.74	$776.25