Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.74 / $866.74 / $866.74	Facility		$866.74	$866.74	$866.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.38 / $866.74 / $1,171.71	Professional		$677.38	$866.74	$1,171.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,014.53 / $3,408.23 / $14,509.58	Facility		$2,014.53	$3,408.23	$14,509.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.89 / $1,281.60 / $1,281.60	Professional		$1,086.89	$1,281.60	$1,281.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $941.33 / $1,845.86	Facility		$941.33	$941.33	$1,845.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $941.33 / $1,954.88	Professional		$687.17	$941.33	$1,954.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.38 / $1,914.22 / $2,356.23	Professional		$1,433.38	$1,914.22	$2,356.23
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 $2,192.23 / $2,192.23 / $2,192.23	Professional		$2,192.23	$2,192.23	$2,192.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $951.98 / $1,359.98 / $1,427.97	Professional		$951.98	$1,359.98	$1,427.97
United Facility/Professional Professional Modifier Low / Median / High Price $622.66 / $841.30 / $1,444.22	Professional		$622.66	$841.30	$1,444.22