Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.74 / $744.74 / $2,252.56	Facility		$744.74	$744.74	$2,252.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.32 / $734.99 / $886.10	Professional		$636.32	$734.99	$886.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $730.10 / $4,462.92 / $10,382.08	Facility		$730.10	$4,462.92	$10,382.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.42 / $755.58 / $863.52	Professional		$741.42	$755.58	$863.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.23 / $854.13 / $1,484.21	Facility		$692.23	$854.13	$1,484.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.49 / $1,076.95 / $1,595.65	Professional		$775.49	$1,076.95	$1,595.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $669.11 / $1,007.44 / $2,740.02	Professional		$669.11	$1,007.44	$2,740.02
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 $803.21 / $828.43 / $935.48	Professional		$803.21	$828.43	$935.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $928.55 / $928.55 / $928.55	Facility		$928.55	$928.55	$928.55
United Facility/Professional Professional Modifier Low / Median / High Price $569.91 / $888.89 / $1,432.55	Professional		$569.91	$888.89	$1,432.55