Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,230.27	Facility		$616.60	$616.60	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $1,096.48	Professional		$512.86	$616.60	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $8,317.64	Facility		$1,445.44	$2,344.23	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $912.01	Professional		$707.95	$912.01	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,348.96	Facility		$954.99	$954.99	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,318.26	Professional		$691.83	$691.83	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $1,778.28	Professional		$1,023.29	$1,445.44	$1,778.28
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 $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $741.31	Professional		$512.86	$512.86	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $977.24 / $1,778.28	Facility		$457.09	$977.24	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $933.25	Professional		$446.68	$602.56	$933.25