Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.51 / $642.51 / $1,298.16	Facility		$642.51	$642.51	$1,298.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.82 / $642.51 / $1,065.08	Professional		$565.82	$642.51	$1,065.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,551.84 / $2,625.44 / $11,169.55	Facility		$1,551.84	$2,625.44	$11,169.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.60 / $986.60 / $986.60	Professional		$986.60	$986.60	$986.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.63 / $724.63 / $1,420.96	Facility		$724.63	$724.63	$1,420.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $724.63 / $1,504.88	Professional		$528.98	$724.63	$1,504.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,168.33 / $1,451.76 / $1,817.42	Professional		$1,168.33	$1,451.76	$1,817.42
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 $1,687.61 / $1,687.61 / $1,687.61	Professional		$1,687.61	$1,687.61	$1,687.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $791.07 / $1,130.09 / $1,186.60	Professional		$791.07	$1,130.09	$1,186.60
United Facility/Professional Professional Modifier Low / Median / High Price $494.24 / $647.63 / $1,146.78	Professional		$494.24	$647.63	$1,146.78