Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.17 / $943.17 / $943.17	Facility		$943.17	$943.17	$943.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.79 / $1,015.72 / $1,450.90	Professional		$770.79	$1,015.72	$1,450.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,276.88 / $3,852.08 / $16,396.31	Facility		$2,276.88	$3,852.08	$16,396.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.72 / $1,232.72 / $2,317.33	Facility		$1,232.72	$1,232.72	$2,317.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.89 / $1,232.72 / $2,209.13	Professional		$899.89	$1,232.72	$2,209.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.77 / $2,477.29 / $2,978.91	Professional		$1,619.77	$2,477.29	$2,978.91
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 $2,477.29 / $2,477.29 / $2,477.29	Professional		$2,477.29	$2,477.29	$2,477.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,075.76 / $1,536.81 / $1,613.65	Professional		$1,075.76	$1,536.81	$1,613.65
United Facility/Professional Professional Modifier Low / Median / High Price $721.18 / $950.69 / $1,683.42	Professional		$721.18	$950.69	$1,683.42