Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,862.09	Facility		$891.25	$891.25	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,659.59	Professional		$645.65	$891.25	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $12,589.25	Facility		$2,187.76	$3,548.13	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,949.84	Facility		$1,230.27	$1,230.27	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,905.46	Professional		$891.25	$891.25	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $2,290.87	Professional		$1,479.11	$1,819.70	$2,290.87
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 $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,479.11	Professional		$1,023.29	$1,023.29	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,398.83	Facility		$977.24	$1,445.44	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,348.96	Professional		$660.69	$912.01	$1,348.96