Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.59 / $514.79 / $819.02	Facility		$134.59	$514.79	$819.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.75 / $514.79 / $819.02	Professional		$340.75	$514.79	$819.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,192.85 / $2,616.16 / $3,375.08	Facility		$2,192.85	$2,616.16	$3,375.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $200.58 / $913.89	Professional		$86.83	$200.58	$913.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.96 / $818.96 / $818.96	Professional		$818.96	$818.96	$818.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.54 / $979.58 / $1,560.23	Professional		$108.54	$979.58	$1,560.23
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 $108.54 / $112.88 / $1,188.06	Professional		$108.54	$112.88	$1,188.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $819.02 / $1,343.42 / $1,370.84	Professional		$819.02	$1,343.42	$1,370.84
United Facility/Professional Professional Modifier Low / Median / High Price $722.60 / $989.68 / $1,688.59	Professional		$722.60	$989.68	$1,688.59