Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,348.96	Facility		$676.08	$676.08	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $1,348.96	Professional		$602.56	$691.83	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,570.40 / $9,120.11	Facility		$1,584.89	$2,570.40	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,000.00	Professional		$851.14	$1,000.00	$1,000.00
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 $602.56 / $602.56 / $1,445.44	Professional		$602.56	$602.56	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $2,089.30	Professional		$1,071.52	$1,659.59	$2,089.30
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 $741.31 / $741.31 / $1,071.52	Professional		$741.31	$741.31	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,071.52 / $2,137.96	Facility		$562.34	$1,071.52	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,096.48	Professional		$512.86	$660.69	$1,096.48