Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,737.80	Facility		$851.14	$851.14	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,445.44	Professional		$630.96	$851.14	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,311.31 / $11,748.98	Facility		$2,041.74	$3,311.31	$11,748.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,737.80	Facility		$1,096.48	$1,096.48	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,737.80	Professional		$812.83	$812.83	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $2,238.72	Professional		$1,445.44	$1,778.28	$2,238.72
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 $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,288.25	Professional		$912.01	$912.01	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,380.38 / $2,238.72	Facility		$912.01	$1,380.38	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,258.93	Professional		$616.60	$851.14	$1,258.93