Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.98 / $780.98 / $780.98	Facility		$780.98	$780.98	$780.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.64 / $780.98 / $1,166.60	Professional		$606.64	$780.98	$1,166.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,815.78 / $3,071.98 / $13,073.89	Facility		$1,815.78	$3,071.98	$13,073.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $934.83 / $1,154.80 / $1,154.80	Professional		$934.83	$1,154.80	$1,154.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $832.50 / $832.50 / $1,479.71	Facility		$832.50	$832.50	$1,479.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $832.50 / $1,761.38	Professional		$607.73	$832.50	$1,761.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,287.33 / $1,671.42 / $2,007.81	Professional		$1,287.33	$1,671.42	$2,007.81
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 $1,975.31 / $1,975.31 / $1,975.31	Professional		$1,975.31	$1,975.31	$1,975.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $801.67 / $1,145.25 / $1,202.51	Professional		$801.67	$1,145.25	$1,202.51
United Facility/Professional Professional Modifier Low / Median / High Price $600.14 / $758.05 / $1,342.30	Professional		$600.14	$758.05	$1,342.30