Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,949.84	Facility		$954.99	$954.99	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,621.81	Professional		$660.69	$954.99	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,715.35 / $13,182.57	Facility		$2,344.23	$3,715.35	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,905.46	Facility		$912.01	$912.01	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,949.84	Professional		$660.69	$660.69	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,398.83	Professional		$1,513.56	$1,949.84	$2,398.83
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 $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,548.82	Professional		$1,096.48	$1,096.48	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,548.82 / $2,398.83	Facility		$954.99	$1,548.82	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,412.54	Professional		$645.65	$954.99	$1,412.54