Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.63 / $615.91 / $1,995.39	Facility		$567.63	$615.91	$1,995.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.35 / $624.23 / $810.11	Professional		$481.35	$624.23	$810.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,432.59 / $2,423.69 / $10,310.65	Facility		$1,432.59	$2,423.69	$10,310.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.26 / $910.74 / $910.74	Professional		$737.26	$910.74	$910.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $1,311.67	Facility		$736.69	$736.69	$1,311.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $1,472.74	Professional		$537.78	$537.78	$1,472.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.59 / $1,348.51 / $1,692.60	Professional		$1,018.59	$1,348.51	$1,692.60
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 $1,557.84 / $1,557.84 / $1,557.84	Professional		$1,557.84	$1,557.84	$1,557.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $548.52 / $783.60 / $822.78	Professional		$548.52	$783.60	$822.78
United Facility/Professional Professional Modifier Low / Median / High Price $445.05 / $597.83 / $1,026.28	Professional		$445.05	$597.83	$1,026.28