Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,659.59	Facility		$831.76	$831.76	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,621.81	Professional		$724.44	$851.14	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,090.30 / $11,220.18	Facility		$1,949.84	$3,090.30	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,230.27	Professional		$1,047.13	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,071.52	Facility		$1,000.00	$1,000.00	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,778.28	Professional		$741.31	$741.31	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,238.72	Professional		$1,288.25	$1,819.70	$2,238.72
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 $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,288.25	Professional		$912.01	$912.01	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,288.25 / $2,630.27	Facility		$676.08	$1,288.25	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,348.96	Professional		$630.96	$812.83	$1,348.96