Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.23 / $772.23 / $772.23	Facility		$772.23	$772.23	$772.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.45 / $772.23 / $1,134.36	Professional		$550.45	$772.23	$1,134.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,795.11 / $3,025.72 / $12,927.38	Facility		$1,795.11	$3,025.72	$12,927.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.30 / $1,141.84 / $1,141.84	Professional		$792.30	$1,141.84	$1,141.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.39 / $755.39 / $1,689.60	Facility		$755.39	$755.39	$1,689.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $755.38 / $1,741.88	Professional		$551.42	$755.38	$1,741.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.74 / $1,517.47 / $1,852.25	Professional		$1,191.74	$1,517.47	$1,852.25
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 $1,953.17 / $1,953.17 / $1,953.17	Professional		$1,953.17	$1,953.17	$1,953.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $848.17 / $1,211.68 / $1,272.26	Professional		$848.17	$1,211.68	$1,272.26
United Facility/Professional Professional Modifier Low / Median / High Price $502.59 / $749.55 / $1,286.73	Professional		$502.59	$749.55	$1,286.73