Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.11 / $685.11 / $1,384.22	Facility		$685.11	$685.11	$1,384.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.49 / $685.11 / $966.34	Professional		$543.49	$685.11	$966.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,653.60 / $2,797.60 / $11,910.11	Facility		$1,653.60	$2,797.60	$11,910.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.01 / $1,052.01 / $1,052.01	Professional		$1,052.01	$1,052.01	$1,052.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.43 / $895.43 / $1,347.58	Facility		$895.43	$895.43	$1,347.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $895.43 / $1,604.63	Professional		$653.66	$895.43	$1,604.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.11 / $1,391.20 / $1,763.21	Professional		$1,138.11	$1,391.20	$1,763.21
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 $1,799.49 / $1,799.49 / $1,799.49	Professional		$1,799.49	$1,799.49	$1,799.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $781.42 / $1,116.32 / $1,172.13	Professional		$781.42	$1,116.32	$1,172.13
United Facility/Professional Professional Modifier Low / Median / High Price $463.53 / $690.57 / $1,222.81	Professional		$463.53	$690.57	$1,222.81