Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,698.24	Facility		$831.76	$831.76	$1,698.24
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 $2,041.74 / $3,235.94 / $11,481.54	Facility		$2,041.74	$3,235.94	$11,481.54
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 $912.01 / $912.01 / $1,862.09	Facility		$912.01	$912.01	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,819.70	Professional		$660.69	$660.69	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $2,187.76	Professional		$1,412.54	$1,737.80	$2,187.76
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 $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,258.93	Professional		$891.25	$891.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,398.83	Facility		$977.24	$1,348.96	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,288.25	Professional		$645.65	$831.76	$1,288.25