Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.79 / $670.79 / $670.79	Facility		$670.79	$670.79	$670.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.08 / $670.79 / $1,029.33	Professional		$522.08	$670.79	$1,029.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,559.79 / $2,638.89 / $11,229.19	Facility		$1,559.79	$2,638.89	$11,229.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.21 / $991.87 / $991.87	Professional		$739.21	$991.87	$991.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.15 / $713.15 / $1,337.02	Facility		$713.15	$713.15	$1,337.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $713.14 / $1,513.13	Professional		$520.60	$713.14	$1,513.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.99 / $1,370.34 / $1,678.97	Professional		$1,048.99	$1,370.34	$1,678.97
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 $1,696.62 / $1,696.62 / $1,696.62	Professional		$1,696.62	$1,696.62	$1,696.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $736.76 / $1,052.52 / $1,105.14	Professional		$736.76	$1,052.52	$1,105.14
United Facility/Professional Professional Modifier Low / Median / High Price $474.48 / $651.10 / $1,117.71	Professional		$474.48	$651.10	$1,117.71