Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.54 / $913.54 / $913.54	Facility		$913.54	$913.54	$913.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.95 / $913.54 / $1,367.47	Professional		$675.95	$913.54	$1,367.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,124.23 / $3,593.84 / $15,292.99	Facility		$2,124.23	$3,593.84	$15,292.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $1,918.08	Facility		$1,149.77	$1,149.77	$1,918.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $1,149.77 / $2,060.63	Professional		$839.33	$1,149.77	$2,060.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,510.78 / $2,132.87 / $2,687.39	Professional		$1,510.78	$2,132.87	$2,687.39
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 $2,310.61 / $2,310.61 / $2,310.61	Professional		$2,310.61	$2,310.61	$2,310.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,003.38 / $1,433.40 / $1,505.07	Professional		$1,003.38	$1,433.40	$1,505.07
United Facility/Professional Professional Modifier Low / Median / High Price $617.17 / $869.92 / $1,522.20	Professional		$617.17	$869.92	$1,522.20