Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.77 / $692.77 / $692.77	Facility		$692.77	$692.77	$692.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.09 / $692.77 / $1,030.59	Professional		$514.09	$692.77	$1,030.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,610.67 / $2,724.97 / $11,597.12	Facility		$1,610.67	$2,724.97	$11,597.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.11 / $737.11 / $1,024.36	Professional		$737.11	$737.11	$1,024.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.02 / $714.02 / $1,256.96	Facility		$714.02	$714.02	$1,256.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $714.01 / $1,562.63	Professional		$521.23	$714.01	$1,562.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.28 / $1,365.56 / $1,680.88	Professional		$1,078.28	$1,365.56	$1,680.88
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 $1,752.21 / $1,752.21 / $1,752.21	Professional		$1,752.21	$1,752.21	$1,752.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $760.89 / $1,086.99 / $1,141.33	Professional		$760.89	$1,086.99	$1,141.33
United Facility/Professional Professional Modifier Low / Median / High Price $472.31 / $651.44 / $1,154.33	Professional		$472.31	$651.44	$1,154.33