Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.28 / $953.28 / $953.28	Facility		$953.28	$953.28	$953.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.09 / $953.28 / $1,349.24	Professional		$645.09	$953.28	$1,349.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,300.73 / $3,892.43 / $16,572.06	Facility		$2,300.73	$3,892.43	$16,572.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,463.80 / $1,463.80 / $1,536.99	Professional		$1,463.80	$1,463.80	$1,536.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.63 / $902.63 / $1,787.15	Facility		$902.63	$902.63	$1,787.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $902.63 / $2,232.75	Professional		$658.92	$902.63	$2,232.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,570.73 / $1,926.05 / $2,433.41	Professional		$1,570.73	$1,926.05	$2,433.41
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 $2,503.87 / $2,503.87 / $2,503.87	Professional		$2,503.87	$2,503.87	$2,503.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,016.17 / $1,451.68 / $1,524.26	Professional		$1,016.17	$1,451.68	$1,524.26
United Facility/Professional Professional Modifier Low / Median / High Price $644.41 / $960.88 / $1,649.51	Professional		$644.41	$960.88	$1,649.51