Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.57 / $724.57 / $2,276.78	Facility		$724.57	$724.57	$2,276.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.49 / $737.99 / $1,261.24	Professional		$596.49	$737.99	$1,261.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.84 / $6,788.05 / $14,805.61	Facility		$1,860.84	$6,788.05	$14,805.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $784.71 / $1,071.39 / $1,071.39	Professional		$784.71	$1,071.39	$1,071.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.42 / $840.60 / $1,384.41	Facility		$829.42	$840.60	$1,384.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $829.42 / $1,634.25	Professional		$613.64	$829.42	$1,634.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.82 / $1,500.32 / $1,846.76	Professional		$1,153.82	$1,500.32	$1,846.76
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 $1,832.65 / $1,832.65 / $1,832.65	Professional		$1,832.65	$1,832.65	$1,832.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $795.83 / $1,136.90 / $1,193.74	Professional		$795.83	$1,136.90	$1,193.74
United Facility/Professional Professional Modifier Low / Median / High Price $520.20 / $703.30 / $1,234.90	Professional		$520.20	$703.30	$1,234.90