Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.91 / $792.91 / $792.91	Facility		$792.91	$792.91	$792.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.16 / $792.91 / $1,238.20	Professional		$638.16	$792.91	$1,238.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,914.36 / $3,238.76 / $13,784.16	Facility		$1,914.36	$3,238.76	$13,784.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $2,015.44	Facility		$1,036.33	$1,036.33	$2,015.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $1,036.33 / $1,857.38	Professional		$756.53	$1,036.33	$1,857.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,361.73 / $1,917.45 / $2,340.71	Professional		$1,361.73	$1,917.45	$2,340.71
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 $2,082.64 / $2,082.64 / $2,082.64	Professional		$2,082.64	$2,082.64	$2,082.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $845.22 / $1,207.46 / $1,267.83	Professional		$845.22	$1,207.46	$1,267.83
United Facility/Professional Professional Modifier Low / Median / High Price $609.92 / $799.24 / $1,665.08	Professional		$609.92	$799.24	$1,665.08