Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $2,630.27	Facility		$707.95	$707.95	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,412.54	Professional		$630.96	$758.58	$1,412.54
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 $891.25 / $1,047.13 / $1,047.13	Professional		$891.25	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $912.01	Facility		$891.25	$891.25	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,584.89	Professional		$645.65	$645.65	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $1,995.26	Professional		$1,096.48	$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 $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,096.48	Professional		$776.25	$776.25	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,096.48 / $2,238.72	Facility		$575.44	$1,096.48	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,148.15	Professional		$537.03	$691.83	$1,148.15