Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.85 / $705.85 / $2,629.31	Facility		$705.85	$705.85	$2,629.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.70 / $705.85 / $1,130.64	Professional		$601.70	$705.85	$1,130.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,640.88 / $2,776.08 / $11,816.19	Facility		$1,640.88	$2,776.08	$11,816.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $885.13 / $1,043.71 / $1,043.71	Professional		$885.13	$1,043.71	$1,043.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.38 / $888.38 / $1,654.94	Facility		$888.38	$888.38	$1,654.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $888.38 / $1,592.25	Professional		$648.52	$888.38	$1,592.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,167.31 / $1,638.11 / $2,027.49	Professional		$1,167.31	$1,638.11	$2,027.49
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 $1,785.29 / $1,785.29 / $1,785.29	Professional		$1,785.29	$1,785.29	$1,785.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $775.27 / $1,107.53 / $1,162.90	Professional		$775.27	$1,107.53	$1,162.90
United Facility/Professional Professional Modifier Low / Median / High Price $536.44 / $685.12 / $1,213.17	Professional		$536.44	$685.12	$1,213.17