Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.69 / $849.69 / $849.69	Facility		$849.69	$849.69	$849.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.69 / $865.70 / $1,211.64	Professional		$643.69	$865.70	$1,211.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,051.10 / $3,470.10 / $14,771.15	Facility		$2,051.10	$3,470.10	$14,771.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,304.71 / $1,304.71 / $1,304.71	Professional		$1,304.71	$1,304.71	$1,304.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.11 / $1,200.11 / $1,585.53	Facility		$1,200.11	$1,200.11	$1,585.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $1,200.11 / $1,990.13	Professional		$876.09	$1,200.11	$1,990.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.33 / $1,726.35 / $2,210.23	Professional		$1,421.33	$1,726.35	$2,210.23
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 $2,231.75 / $2,231.75 / $2,231.75	Professional		$2,231.75	$2,231.75	$2,231.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $969.15 / $1,384.50 / $1,453.72	Professional		$969.15	$1,384.50	$1,453.72
United Facility/Professional Professional Modifier Low / Median / High Price $649.28 / $856.46 / $1,427.44	Professional		$649.28	$856.46	$1,427.44