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 $537.03 / $616.60 / $1,148.15	Professional		$537.03	$616.60	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,019.95 / $8,317.64	Facility		$1,659.59	$3,019.95	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $912.01	Professional		$776.25	$912.01	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,348.96	Facility		$707.95	$707.95	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,318.26	Professional		$524.81	$524.81	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,513.56	Professional		$912.01	$1,202.26	$1,513.56
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 $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $912.01	Professional		$630.96	$630.96	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $1,778.28	Facility		$457.09	$954.99	$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