Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.74 / $790.74 / $790.74	Facility		$790.74	$790.74	$790.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.48 / $790.74 / $1,181.27	Professional		$609.48	$790.74	$1,181.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,838.04 / $3,109.64 / $13,237.31	Facility		$1,838.04	$3,109.64	$13,237.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.89 / $1,169.24 / $1,169.24	Professional		$863.89	$1,169.24	$1,169.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $842.96 / $1,483.96	Facility		$842.96	$842.96	$1,483.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $842.96 / $1,783.50	Professional		$615.36	$842.96	$1,783.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.78 / $1,592.35 / $1,960.04	Professional		$1,230.78	$1,592.35	$1,960.04
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 $2,000.01 / $2,000.01 / $2,000.01	Professional		$2,000.01	$2,000.01	$2,000.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $868.51 / $1,240.73 / $1,302.76	Professional		$868.51	$1,240.73	$1,302.76
United Facility/Professional Professional Modifier Low / Median / High Price $560.86 / $767.53 / $1,317.59	Professional		$560.86	$767.53	$1,317.59