Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,513.56	Facility		$776.25	$776.25	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,230.27	Professional		$575.44	$776.25	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $10,232.93	Facility		$1,819.70	$2,884.03	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,148.15	Professional		$933.25	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,047.13	Facility		$1,000.00	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,548.82	Professional		$776.25	$776.25	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,949.84	Professional		$1,202.26	$1,513.56	$1,949.84
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 $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,202.26	Professional		$851.14	$851.14	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,202.26 / $2,089.30	Facility		$537.03	$1,202.26	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,096.48	Professional		$524.81	$741.31	$1,096.48