Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.46 / $681.46 / $1,987.10	Facility		$681.46	$681.46	$1,987.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.23 / $682.89 / $1,166.70	Professional		$578.23	$682.89	$1,166.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,645.65 / $2,784.15 / $11,846.71	Facility		$1,645.65	$2,784.15	$11,846.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $914.31 / $1,046.40 / $1,046.40	Professional		$914.31	$1,046.40	$1,046.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.08 / $809.08 / $1,899.07	Facility		$809.08	$809.08	$1,899.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $809.08 / $1,596.00	Professional		$687.72	$809.08	$1,596.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.00 / $2,277.00 / $2,772.00	Professional		$1,308.00	$2,277.00	$2,772.00
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 $1,789.89 / $1,789.89 / $1,789.89	Professional		$1,789.89	$1,789.89	$1,789.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $839.02 / $1,198.60 / $1,258.54	Professional		$839.02	$1,198.60	$1,258.54
United Facility/Professional Professional Modifier Low / Median / High Price $538.30 / $686.89 / $1,216.30	Professional		$538.30	$686.89	$1,216.30