Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.67 / $722.67 / $722.67	Facility		$722.67	$722.67	$722.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.78 / $722.67 / $1,175.57	Professional		$564.78	$722.67	$1,175.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,680.63 / $2,843.33 / $12,097.83	Facility		$1,680.63	$2,843.33	$12,097.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $906.23 / $1,068.58 / $1,068.58	Professional		$906.23	$1,068.58	$1,068.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.46 / $907.46 / $1,539.04	Facility		$907.46	$907.46	$1,539.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $1,025.79 / $1,423.64	Professional		$662.45	$1,025.79	$1,423.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.85 / $1,530.89 / $1,786.48	Professional		$1,161.85	$1,530.89	$1,786.48
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 $1,827.84 / $1,827.84 / $1,827.84	Professional		$1,827.84	$1,827.84	$1,827.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $916.79 / $1,309.70 / $1,375.18	Professional		$916.79	$1,309.70	$1,375.18
United Facility/Professional Professional Modifier Low / Median / High Price $522.19 / $698.01 / $1,204.16	Professional		$522.19	$698.01	$1,204.16