Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $956.81 / $956.81 / $956.81	Facility		$956.81	$956.81	$956.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.54 / $956.81 / $1,289.61	Professional		$652.54	$956.81	$1,289.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.27 / $3,908.57 / $16,633.34	Facility		$2,310.27	$3,908.57	$16,633.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,469.20 / $1,469.20 / $1,469.20	Professional		$1,469.20	$1,469.20	$1,469.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.06 / $913.06 / $1,861.20	Facility		$913.06	$913.06	$1,861.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $913.06 / $2,241.00	Professional		$666.53	$913.06	$2,241.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,546.53 / $1,933.16 / $2,391.90	Professional		$1,546.53	$1,933.16	$2,391.90
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 $2,513.11 / $2,513.11 / $2,513.11	Professional		$2,513.11	$2,513.11	$2,513.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,091.32 / $1,559.03 / $1,636.98	Professional		$1,091.32	$1,559.03	$1,636.98
United Facility/Professional Professional Modifier Low / Median / High Price $642.96 / $964.43 / $1,655.61	Professional		$642.96	$964.43	$1,655.61