Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.39 / $935.39 / $4,736.05	Facility		$935.39	$935.39	$4,736.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.20 / $935.39 / $1,446.83	Professional		$660.20	$935.39	$1,446.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,175.12 / $3,679.92 / $15,658.69	Facility		$2,175.12	$3,679.92	$15,658.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,110.78 / $1,383.12 / $1,383.12	Professional		$1,110.78	$1,383.12	$1,383.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $1,025.33 / $2,285.38	Facility		$1,025.33	$1,025.33	$2,285.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $1,025.33 / $2,109.75	Professional		$748.49	$1,025.33	$2,109.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,626.31 / $2,114.69 / $2,547.85	Professional		$1,626.31	$2,114.69	$2,547.85
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 $2,365.86 / $2,365.86 / $2,365.86	Professional		$2,365.86	$2,365.86	$2,365.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,027.36 / $1,467.67 / $1,541.05	Professional		$1,027.36	$1,467.67	$1,541.05
United Facility/Professional Professional Modifier Low / Median / High Price $692.88 / $907.92 / $1,607.68	Professional		$692.88	$907.92	$1,607.68