Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $2,344.23	Facility		$691.83	$691.83	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $1,380.38	Professional		$616.60	$724.44	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $9,332.54	Facility		$1,621.81	$2,570.40	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,023.29	Professional		$870.96	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $891.25	Facility		$831.76	$831.76	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,479.11	Professional		$616.60	$616.60	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $1,995.26	Professional		$1,071.52	$1,548.82	$1,995.26
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 $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,071.52	Professional		$758.58	$758.58	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,071.52 / $2,187.76	Facility		$562.34	$1,071.52	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $1,122.02	Professional		$524.81	$676.08	$1,122.02