Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.58 / $605.58 / $3,133.93	Facility		$605.58	$605.58	$3,133.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.48 / $616.79 / $1,033.04	Professional		$536.48	$616.79	$1,033.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,407.15 / $2,380.65 / $10,137.60	Facility		$1,407.15	$2,380.65	$10,137.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.41 / $895.44 / $895.44	Professional		$782.41	$895.44	$895.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.22 / $736.22 / $1,376.89	Facility		$736.22	$736.22	$1,376.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $736.22 / $1,365.75	Professional		$537.44	$736.22	$1,365.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.48 / $1,406.56 / $1,740.89	Professional		$1,001.48	$1,406.56	$1,740.89
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 $1,531.67 / $1,531.67 / $1,531.67	Professional		$1,531.67	$1,531.67	$1,531.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $665.13 / $950.19 / $997.69	Professional		$665.13	$950.19	$997.69
United Facility/Professional Professional Modifier Low / Median / High Price $486.99 / $587.79 / $1,032.08	Professional		$486.99	$587.79	$1,032.08