Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.78 / $816.78 / $816.78	Facility		$816.78	$816.78	$816.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.30 / $816.78 / $1,358.11	Professional		$638.30	$816.78	$1,358.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,558.48 / $4,370.04 / $13,673.10	Facility		$2,558.48	$4,370.04	$13,673.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,024.24 / $1,207.74 / $1,207.74	Professional		$1,024.24	$1,207.74	$1,207.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,739.43	Facility		$1,115.23	$1,115.23	$1,739.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $1,115.23 / $1,842.38	Professional		$814.12	$1,115.23	$1,842.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.76 / $1,748.04 / $2,130.35	Professional		$1,350.76	$1,748.04	$2,130.35
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 $2,065.87 / $2,065.87 / $2,065.87	Professional		$2,065.87	$2,065.87	$2,065.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $897.10 / $1,281.58 / $1,345.65	Professional		$897.10	$1,281.58	$1,345.65
United Facility/Professional Professional Modifier Low / Median / High Price $590.19 / $792.80 / $1,360.97	Professional		$590.19	$792.80	$1,360.97