Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,584.89	Facility		$794.33	$794.33	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,380.38	Professional		$630.96	$794.33	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,951.21 / $10,715.19	Facility		$1,862.09	$2,951.21	$10,715.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,174.90	Professional		$870.96	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,023.29	Facility		$851.14	$851.14	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,548.82	Professional		$616.60	$616.60	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $1,995.26	Professional		$1,230.27	$1,584.89	$1,995.26
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 $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,230.27	Professional		$870.96	$870.96	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,230.27 / $2,187.76	Facility		$575.44	$1,230.27	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,148.15	Professional		$562.34	$776.25	$1,148.15