Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,778.28	Facility		$870.96	$870.96	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,698.24	Professional		$630.96	$870.96	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,388.44 / $12,022.64	Facility		$2,089.30	$3,388.44	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,995.26	Facility		$891.25	$891.25	$1,995.26
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 $1,348.96 / $1,621.81 / $1,995.26	Professional		$1,348.96	$1,621.81	$1,995.26
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 $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,318.26	Professional		$912.01	$912.01	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,344.23	Facility		$954.99	$1,380.38	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,318.26	Professional		$645.65	$870.96	$1,318.26