Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.70 / $669.70 / $669.70	Facility		$669.70	$669.70	$669.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.54 / $669.70 / $1,011.00	Professional		$509.54	$669.70	$1,011.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,617.03 / $2,735.73 / $11,642.32	Facility		$1,617.03	$2,735.73	$11,642.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.29 / $875.29 / $1,424.89	Facility		$875.29	$875.29	$1,424.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $875.29 / $1,568.63	Professional		$638.96	$875.29	$1,568.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.47 / $1,353.09 / $1,677.83	Professional		$1,082.47	$1,353.09	$1,677.83
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 $1,759.02 / $1,759.02 / $1,759.02	Professional		$1,759.02	$1,759.02	$1,759.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $713.88 / $1,019.83 / $1,070.82	Professional		$713.88	$1,019.83	$1,070.82
United Facility/Professional Professional Modifier Low / Median / High Price $452.79 / $675.04 / $1,125.07	Professional		$452.79	$675.04	$1,125.07