Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.91 / $992.91 / $992.91	Facility		$992.91	$992.91	$992.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.07 / $992.91 / $1,545.44	Professional		$863.07	$992.91	$1,545.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,308.67 / $3,905.88 / $16,621.59	Facility		$2,308.67	$3,905.88	$16,621.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.10 / $1,468.17 / $1,468.17	Professional		$1,245.10	$1,468.17	$1,468.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $2,124.98	Facility		$1,207.09	$1,207.09	$2,124.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $1,207.09 / $2,239.50	Professional		$881.18	$1,207.09	$2,239.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,623.93 / $2,124.98 / $2,524.00	Professional		$1,623.93	$2,124.98	$2,524.00
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 $2,511.34 / $2,511.34 / $2,511.34	Professional		$2,511.34	$2,511.34	$2,511.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,090.55 / $1,557.94 / $1,635.83	Professional		$1,090.55	$1,557.94	$1,635.83
United Facility/Professional Professional Modifier Low / Median / High Price $803.13 / $963.76 / $1,659.43	Professional		$803.13	$963.76	$1,659.43