Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.13 / $970.13 / $970.13	Facility		$970.13	$970.13	$970.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.09 / $970.13 / $1,529.55	Professional		$824.09	$970.13	$1,529.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,254.62 / $3,814.42 / $16,240.29	Facility		$2,254.62	$3,814.42	$16,240.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,216.54 / $1,434.48 / $1,434.48	Professional		$1,216.54	$1,434.48	$1,434.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $1,179.41 / $2,076.23	Facility		$1,179.41	$1,179.41	$2,076.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $1,179.40 / $2,188.13	Professional		$860.97	$1,179.40	$2,188.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,604.36 / $2,170.60 / $2,642.47	Professional		$1,604.36	$2,170.60	$2,642.47
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 $2,453.71 / $2,453.71 / $2,453.71	Professional		$2,453.71	$2,453.71	$2,453.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $995.82 / $1,422.60 / $1,493.73	Professional		$995.82	$1,422.60	$1,493.73
United Facility/Professional Professional Modifier Low / Median / High Price $784.70 / $941.64 / $1,653.39	Professional		$784.70	$941.64	$1,653.39