Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.80 / $897.80 / $897.80	Facility		$897.80	$897.80	$897.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.41 / $897.80 / $1,347.13	Professional		$702.41	$897.80	$1,347.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,167.17 / $3,666.47 / $15,607.50	Facility		$2,167.17	$3,666.47	$15,607.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,378.59 / $1,378.59 / $1,378.59	Professional		$1,378.59	$1,378.59	$1,378.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,898.60	Facility		$1,232.20	$1,232.20	$1,898.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $1,232.20 / $2,103.00	Professional		$899.51	$1,232.20	$2,103.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,470.45 / $1,813.93 / $2,278.06	Professional		$1,470.45	$1,813.93	$2,278.06
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 $2,358.11 / $2,358.11 / $2,358.11	Professional		$2,358.11	$2,358.11	$2,358.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,024.02 / $1,462.89 / $1,536.03	Professional		$1,024.02	$1,462.89	$1,536.03
United Facility/Professional Professional Modifier Low / Median / High Price $669.18 / $904.95 / $1,588.97	Professional		$669.18	$904.95	$1,588.97