Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,819.70	Facility		$891.25	$891.25	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,698.24	Professional		$691.83	$912.01	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,467.37 / $12,302.69	Facility		$2,137.96	$3,467.37	$12,302.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,995.26	Facility		$1,258.93	$1,258.93	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,949.84	Professional		$912.01	$912.01	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,290.87	Professional		$1,513.56	$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 $933.25 / $933.25 / $1,348.96	Professional		$933.25	$933.25	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,511.89	Facility		$1,023.29	$1,445.44	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,380.38	Professional		$676.08	$891.25	$1,380.38