Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.22 / $773.22 / $773.22	Facility		$773.22	$773.22	$773.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.28 / $773.22 / $1,203.50	Professional		$604.28	$773.22	$1,203.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,798.29 / $3,042.39 / $12,944.05	Facility		$1,798.29	$3,042.39	$12,944.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $881.47 / $1,143.33 / $1,143.33	Professional		$881.47	$1,143.33	$1,143.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,646.70	Facility		$1,038.85	$1,038.85	$1,646.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $1,038.85 / $1,744.13	Professional		$758.37	$1,038.85	$1,744.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,247.40 / $1,643.60 / $1,918.00	Professional		$1,247.40	$1,643.60	$1,918.00
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 $1,955.69 / $1,955.69 / $1,955.69	Professional		$1,955.69	$1,955.69	$1,955.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $793.70 / $1,133.86 / $1,190.56	Professional		$793.70	$1,133.86	$1,190.56
United Facility/Professional Professional Modifier Low / Median / High Price $558.72 / $750.52 / $1,563.59	Professional		$558.72	$750.52	$1,563.59