Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.26 / $925.26 / $925.26	Facility		$925.26	$925.26	$925.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $925.26 / $1,638.56	Professional		$93.70	$925.26	$1,638.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,174.87 / $7,830.52 / $17,079.34	Facility		$2,174.87	$7,830.52	$17,079.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,050.35 / $1,094.13 / $1,748.51	Professional		$1,050.35	$1,094.13	$1,748.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $1,803.48	Facility		$120.00	$120.00	$1,803.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $120.00 / $1,910.25	Professional		$102.00	$120.00	$1,910.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.08 / $222.66 / $1,812.39	Professional		$172.08	$222.66	$1,812.39
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 $2,141.92 / $2,141.92 / $2,141.92	Professional		$2,141.92	$2,141.92	$2,141.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $2,059.54 / $2,471.44	Professional		$81.78	$2,059.54	$2,471.44
United Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $77.33 / $187.97	Professional		$69.12	$77.33	$187.97