Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.52 / $638.32 / $2,201.61	Facility		$353.52	$638.32	$2,201.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.52 / $469.02 / $641.38	Professional		$295.52	$469.02	$641.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.28 / $1,927.26 / $5,389.56	Facility		$926.28	$1,927.26	$5,389.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.93 / $521.72 / $755.32	Professional		$433.93	$521.72	$755.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.02 / $410.02 / $410.02	Professional		$410.02	$410.02	$410.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.70 / $751.16 / $2,429.51	Professional		$467.70	$751.16	$2,429.51
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 $552.73 / $575.41 / $617.08	Professional		$552.73	$575.41	$617.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.47 / $475.38 / $674.36	Professional		$368.47	$475.38	$674.36