Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.28 / $989.28 / $989.28	Facility		$989.28	$989.28	$989.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.98 / $1,036.78 / $1,547.26	Professional		$821.98	$1,036.78	$1,547.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,388.17 / $4,040.38 / $17,197.91	Facility		$2,388.17	$4,040.38	$17,197.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.48 / $1,408.48 / $2,099.94	Facility		$1,408.48	$1,408.48	$2,099.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,408.48 / $2,317.13	Professional		$1,028.19	$1,408.48	$2,317.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.96 / $2,385.51 / $2,912.10	Professional		$1,698.96	$2,385.51	$2,912.10
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 $2,598.41 / $2,598.41 / $2,598.41	Professional		$2,598.41	$2,598.41	$2,598.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,128.37 / $1,611.96 / $1,692.55	Professional		$1,128.37	$1,611.96	$1,692.55
United Facility/Professional Professional Modifier Low / Median / High Price $765.23 / $997.17 / $1,765.72	Professional		$765.23	$997.17	$1,765.72