Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.61 / $839.61 / $839.61	Facility		$839.61	$839.61	$839.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.88 / $839.61 / $1,418.72	Professional		$726.88	$839.61	$1,418.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.01 / $4,492.04 / $14,055.36	Facility		$2,630.01	$4,492.04	$14,055.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.90 / $1,241.50 / $1,241.50	Professional		$1,044.90	$1,241.50	$1,241.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,030.36 / $2,181.83	Facility		$1,030.36	$1,030.36	$2,181.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $752.17 / $2,007.38	Professional		$752.17	$752.17	$2,007.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,470.20 / $1,960.26 / $2,355.12	Professional		$1,470.20	$1,960.26	$2,355.12
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 $2,123.62 / $2,123.62 / $2,123.62	Professional		$2,123.62	$2,123.62	$2,123.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $922.18 / $1,317.40 / $1,383.27	Professional		$922.18	$1,317.40	$1,383.27
United Facility/Professional Professional Modifier Low / Median / High Price $663.68 / $814.96 / $1,911.06	Professional		$663.68	$814.96	$1,911.06