Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.06 / $943.06 / $943.06	Facility		$943.06	$943.06	$943.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.66 / $955.39 / $1,461.74	Professional		$815.66	$955.39	$1,461.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,192.61 / $3,709.51 / $15,787.13	Facility		$2,192.61	$3,709.51	$15,787.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,119.88 / $1,394.46 / $1,394.46	Professional		$1,119.88	$1,394.46	$1,394.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $2,493.63	Facility		$1,186.93	$1,186.93	$2,493.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $1,186.93 / $2,127.00	Professional		$866.46	$1,186.93	$2,127.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,559.59 / $2,281.40 / $2,893.00	Professional		$1,559.59	$2,281.40	$2,893.00
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 $2,385.25 / $2,385.25 / $2,385.25	Professional		$2,385.25	$2,385.25	$2,385.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,035.79 / $1,479.71 / $1,553.69	Professional		$1,035.79	$1,479.71	$1,553.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $744.74 / $915.37 / $1,620.86	Professional		$744.74	$915.37	$1,620.86