Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.24 / $668.24 / $668.24	Facility		$668.24	$668.24	$668.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.78 / $668.24 / $947.68	Professional		$532.78	$668.24	$947.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,613.85 / $2,730.35 / $11,616.73	Facility		$1,613.85	$2,730.35	$11,616.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,026.08 / $1,026.08 / $1,026.08	Professional		$1,026.08	$1,026.08	$1,026.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.73 / $957.73 / $1,335.64	Facility		$957.73	$957.73	$1,335.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $957.73 / $1,565.25	Professional		$699.14	$957.73	$1,565.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,147.59 / $1,495.47 / $1,890.17	Professional		$1,147.59	$1,495.47	$1,890.17
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 $1,755.16 / $1,755.16 / $1,755.16	Professional		$1,755.16	$1,755.16	$1,755.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $762.18 / $1,088.83 / $1,143.28	Professional		$762.18	$1,088.83	$1,143.28
United Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $595.23 / $595.23	Facility		$595.23	$595.23	$595.23
United Facility/Professional Professional Modifier Low / Median / High Price $493.21 / $673.56 / $1,403.25	Professional		$493.21	$673.56	$1,403.25