Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $648.00 / $2,907.20	Facility		$648.00	$648.00	$2,907.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.44 / $648.00 / $1,008.60	Professional		$506.44	$648.00	$1,008.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,029.80 / $3,467.24 / $10,847.76	Facility		$2,029.80	$3,467.24	$10,847.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.59 / $958.17 / $958.17	Professional		$812.59	$958.17	$958.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $1,380.04	Facility		$741.89	$741.89	$1,380.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $741.89 / $1,461.75	Professional		$541.58	$741.89	$1,461.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.64 / $1,434.65 / $1,765.05	Professional		$1,071.64	$1,434.65	$1,765.05
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 $1,638.98 / $1,638.98 / $1,638.98	Professional		$1,638.98	$1,638.98	$1,638.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $711.73 / $1,016.76 / $1,067.59	Professional		$711.73	$1,016.76	$1,067.59
United Facility/Professional Professional Modifier Low / Median / High Price $468.24 / $625.90 / $1,079.74	Professional		$468.24	$625.90	$1,079.74