Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.94 / $711.94 / $711.94	Facility		$711.94	$711.94	$711.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.89 / $711.94 / $1,085.63	Professional		$548.89	$711.94	$1,085.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,655.19 / $2,800.29 / $11,918.21	Facility		$1,655.19	$2,800.29	$11,918.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.67 / $1,052.71 / $1,052.71	Professional		$838.67	$1,052.71	$1,052.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $752.15 / $1,324.08	Facility		$752.15	$752.15	$1,324.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $549.07 / $1,605.75	Professional		$549.07	$549.07	$1,605.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,108.11 / $1,407.51 / $1,717.59	Professional		$1,108.11	$1,407.51	$1,717.59
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 $1,800.70 / $1,800.70 / $1,800.70	Professional		$1,800.70	$1,800.70	$1,800.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $781.96 / $1,117.08 / $1,172.94	Professional		$781.96	$1,117.08	$1,172.94
United Facility/Professional Professional Modifier Low / Median / High Price $500.43 / $691.04 / $1,283.95	Professional		$500.43	$691.04	$1,283.95