Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.60 / $966.60 / $966.60	Facility		$966.60	$966.60	$966.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.10 / $966.60 / $1,288.80	Professional		$655.10	$966.60	$1,288.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,952.84 / $12,733.36 / $25,498.55	Facility		$5,952.84	$12,733.36	$25,498.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $116.93 / $116.93	Professional		$90.90	$116.93	$116.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $1,572.67	Facility		$989.22	$989.22	$1,572.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.21 / $989.22 / $1,807.50	Professional		$751.21	$989.22	$1,807.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $175.40 / $1,097.30	Professional		$104.51	$175.40	$1,097.30
United Facility/Professional Professional Modifier Low / Median / High Price $648.83 / $814.88 / $1,360.43	Professional		$648.83	$814.88	$1,360.43