Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.23 / $771.23 / $771.23	Facility		$771.23	$771.23	$771.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.75 / $771.23 / $1,151.46	Professional		$569.75	$771.23	$1,151.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,793.52 / $3,034.32 / $12,910.71	Facility		$1,793.52	$3,034.32	$12,910.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $937.82 / $1,140.39 / $1,140.39	Professional		$937.82	$1,140.39	$1,140.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.39 / $1,057.34 / $1,541.57	Facility		$1,007.39	$1,057.34	$1,541.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $1,057.34 / $1,739.63	Professional		$771.87	$1,057.34	$1,739.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,200.41 / $1,575.54 / $1,860.63	Professional		$1,200.41	$1,575.54	$1,860.63
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 $1,950.66 / $1,950.66 / $1,950.66	Professional		$1,950.66	$1,950.66	$1,950.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $847.07 / $1,210.09 / $1,270.60	Professional		$847.07	$1,210.09	$1,270.60
United Facility/Professional Professional Modifier Low / Median / High Price $530.10 / $741.91 / $1,285.07	Professional		$530.10	$741.91	$1,285.07