Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.99 / $912.99 / $912.99	Facility		$912.99	$912.99	$912.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.24 / $912.99 / $1,405.82	Professional		$642.24	$912.99	$1,405.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,122.65 / $3,591.15 / $15,283.83	Facility		$2,122.65	$3,591.15	$15,283.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $858.67 / $1,350.00 / $1,350.00	Professional		$858.67	$1,350.00	$1,350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.35 / $891.35 / $1,962.99	Facility		$891.35	$891.35	$1,962.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $1,148.52 / $1,585.82	Professional		$650.69	$1,148.52	$1,585.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.06 / $1,856.09 / $2,202.64	Professional		$1,421.06	$1,856.09	$2,202.64
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 $2,309.21 / $2,309.21 / $2,309.21	Professional		$2,309.21	$2,309.21	$2,309.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,002.79 / $1,432.56 / $1,504.18	Professional		$1,002.79	$1,432.56	$1,504.18
United Facility/Professional Professional Modifier Low / Median / High Price $593.04 / $858.54 / $1,521.29	Professional		$593.04	$858.54	$1,521.29