Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.52 / $705.52 / $705.52	Facility		$705.52	$705.52	$705.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.01 / $718.59 / $1,098.13	Professional		$625.01	$718.59	$1,098.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,640.88 / $2,776.08 / $11,810.67	Facility		$1,640.88	$2,776.08	$11,810.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.53 / $1,043.22 / $1,043.22	Professional		$911.53	$1,043.22	$1,043.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.71 / $857.71 / $1,838.85	Facility		$857.71	$857.71	$1,838.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.13 / $857.71 / $1,591.50	Professional		$626.13	$857.71	$1,591.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.76 / $1,615.23 / $1,940.90	Professional		$1,166.76	$1,615.23	$1,940.90
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 $1,784.46 / $1,784.46 / $1,784.46	Professional		$1,784.46	$1,784.46	$1,784.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $774.90 / $1,107.01 / $1,162.36	Professional		$774.90	$1,107.01	$1,162.36
United Facility/Professional Professional Modifier Low / Median / High Price $570.66 / $684.80 / $1,179.11	Professional		$570.66	$684.80	$1,179.11