Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,412.54	Facility		$707.95	$707.95	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,318.26	Professional		$602.56	$741.31	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $9,549.93	Facility		$1,659.59	$2,630.27	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,047.13	Professional		$912.01	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,548.82	Facility		$977.24	$977.24	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,513.56	Professional		$707.95	$707.95	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,041.74	Professional		$1,174.90	$1,621.81	$2,041.74
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 $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,023.29	Professional		$724.44	$724.44	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,096.48 / $2,238.72	Facility		$575.44	$1,096.48	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,148.15	Professional		$537.03	$691.83	$1,148.15