Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,380.38	Facility		$660.69	$660.69	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,174.90	Professional		$489.78	$660.69	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $9,332.54	Facility		$1,621.81	$2,630.27	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $954.99 / $1,348.96	Facility		$912.01	$954.99	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,380.38	Professional		$691.83	$691.83	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,949.84	Professional		$1,148.15	$1,513.56	$1,949.84
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 $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,096.48	Professional		$758.58	$758.58	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,778.28	Facility		$724.44	$1,071.52	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $1,000.00	Professional		$489.78	$676.08	$1,000.00