Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.76 / $688.76 / $2,345.11	Facility		$688.76	$688.76	$2,345.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.16 / $692.65 / $1,072.05	Professional		$610.16	$692.65	$1,072.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,601.13 / $2,708.83 / $11,530.20	Facility		$1,601.13	$2,708.83	$11,530.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.72 / $1,018.45 / $1,018.45	Professional		$863.72	$1,018.45	$1,018.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $837.35 / $1,474.07	Facility		$837.35	$837.35	$1,474.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $837.35 / $1,553.63	Professional		$611.27	$837.35	$1,553.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,139.05 / $1,615.50 / $1,999.50	Professional		$1,139.05	$1,615.50	$1,999.50
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 $1,742.08 / $1,742.08 / $1,742.08	Professional		$1,742.08	$1,742.08	$1,742.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $756.50 / $1,080.72 / $1,134.75	Professional		$756.50	$1,080.72	$1,134.75
United Facility/Professional Facility Modifier Low / Median / High Price $504.80 / $662.58 / $874.74	Facility		$504.80	$662.58	$874.74
United Facility/Professional Professional Modifier Low / Median / High Price $557.12 / $668.54 / $1,147.67	Professional		$557.12	$668.54	$1,147.67