Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.85 / $432.34 / $654.64	Facility		$320.85	$432.34	$654.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $273.83 / $466.36	Professional		$75.15	$273.83	$466.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,776.28 / $3,872.00 / $7,753.68	Facility		$1,776.28	$3,872.00	$7,753.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.63 / $317.27 / $345.31	Professional		$281.63	$317.27	$345.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.71 / $374.81 / $519.19	Professional		$197.71	$374.81	$519.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $249.88 / $384.88 / $730.47	Professional		$249.88	$384.88	$730.47
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 $323.43 / $336.36 / $360.93	Professional		$323.43	$336.36	$360.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.79 / $377.59 / $408.13	Professional		$248.79	$377.59	$408.13
United Facility/Professional Professional Modifier Low / Median / High Price $71.91 / $108.00 / $208.06	Professional		$71.91	$108.00	$208.06