Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,412.54	Facility		$707.95	$707.95	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $1,174.90	Professional		$549.54	$707.95	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $9,549.93	Facility		$1,659.59	$2,691.53	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,047.13	Professional		$831.76	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $933.25	Facility		$758.58	$758.58	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,412.54	Professional		$549.54	$549.54	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,778.28	Professional		$1,096.48	$1,380.38	$1,778.28
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 $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,122.02	Professional		$776.25	$776.25	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,096.48 / $1,949.84	Facility		$512.86	$1,096.48	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,023.29	Professional		$501.19	$691.83	$1,023.29