Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.83 / $877.83 / $877.83	Facility		$877.83	$877.83	$877.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.97 / $945.35 / $1,373.42	Professional		$727.97	$945.35	$1,373.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,119.46 / $3,585.77 / $15,260.35	Facility		$2,119.46	$3,585.77	$15,260.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,347.93 / $1,347.93 / $1,415.33	Professional		$1,347.93	$1,347.93	$1,415.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.60 / $1,018.60 / $2,099.48	Facility		$1,018.60	$1,018.60	$2,099.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $743.58 / $2,099.48	Professional		$743.58	$743.58	$2,099.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,507.55 / $1,903.56 / $2,412.57	Professional		$1,507.55	$1,903.56	$2,412.57
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 $2,305.67 / $2,305.67 / $2,305.67	Professional		$2,305.67	$2,305.67	$2,305.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $935.74 / $1,336.78 / $1,403.61	Professional		$935.74	$1,336.78	$1,403.61
United Facility/Professional Professional Modifier Low / Median / High Price $677.71 / $884.83 / $1,518.95	Professional		$677.71	$884.83	$1,518.95