Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.83 / $637.83 / $637.83	Facility		$637.83	$637.83	$637.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.49 / $686.89 / $1,083.28	Professional		$575.49	$686.89	$1,083.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,539.12 / $2,603.92 / $11,088.07	Facility		$1,539.12	$2,603.92	$11,088.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $908.11 / $1,417.56	Facility		$908.11	$908.11	$1,417.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $662.92 / $1,508.94	Professional		$662.92	$662.92	$1,508.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.39 / $1,690.91 / $2,032.97	Professional		$1,095.39	$1,690.91	$2,032.97
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 $1,675.30 / $1,675.30 / $1,675.30	Professional		$1,675.30	$1,675.30	$1,675.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $679.91 / $971.30 / $1,019.86	Professional		$679.91	$971.30	$1,019.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.69 / $2,061.90 / $3,831.70	Facility		$1,288.69	$2,061.90	$3,831.70
United Facility/Professional Professional Modifier Low / Median / High Price $535.76 / $642.91 / $1,138.42	Professional		$535.76	$642.91	$1,138.42