Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.53 / $922.53 / $1,486.00	Facility		$922.53	$922.53	$1,486.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.21 / $910.41 / $1,098.08	Professional		$788.21	$910.41	$1,098.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $730.10 / $5,777.83 / $13,440.96	Facility		$730.10	$5,777.83	$13,440.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $927.37 / $1,080.05 / $1,080.05	Professional		$927.37	$1,080.05	$1,080.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.23 / $1,070.13 / $1,484.21	Facility		$692.23	$1,070.13	$1,484.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.23 / $1,357.58 / $1,975.61	Professional		$977.23	$1,357.58	$1,975.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $837.17 / $1,260.06 / $1,993.25	Professional		$837.17	$1,260.06	$1,993.25
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 $1,004.65 / $1,036.49 / $1,170.05	Professional		$1,004.65	$1,036.49	$1,170.05
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 Professional Modifier Low / Median / High Price $650.00 / $1,058.13 / $1,705.14	Professional		$650.00	$1,058.13	$1,705.14