Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.39 / $786.39 / $1,131.79	Facility		$786.39	$786.39	$1,131.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.87 / $896.22 / $1,130.71	Professional		$665.87	$896.22	$1,130.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,822.18 / $3,432.44 / $18,598.68	Facility		$1,822.18	$3,432.44	$18,598.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,657.89 / $1,697.69 / $1,697.69	Professional		$1,657.89	$1,697.69	$1,697.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,276.54 / $1,276.54 / $1,276.54	Facility		$1,276.54	$1,276.54	$1,276.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.14 / $517.14 / $1,390.85	Professional		$517.14	$517.14	$1,390.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $962.02 / $2,742.33 / $3,591.00	Professional		$962.02	$2,742.33	$3,591.00
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 $1,471.33 / $1,471.33 / $1,471.33	Professional		$1,471.33	$1,471.33	$1,471.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,131.79 / $1,584.51 / $1,697.69	Professional		$1,131.79	$1,584.51	$1,697.69
United Facility/Professional Professional Modifier Low / Median / High Price $420.85 / $564.64 / $999.82	Professional		$420.85	$564.64	$999.82