Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.07 / $691.07 / $691.07	Facility		$691.07	$691.07	$691.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.05 / $694.94 / $1,001.39	Professional		$544.05	$694.94	$1,001.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,667.91 / $2,821.81 / $12,013.77	Facility		$1,667.91	$2,821.81	$12,013.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,061.16 / $1,061.16 / $1,061.16	Professional		$1,061.16	$1,061.16	$1,061.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $930.44 / $930.44 / $1,411.33	Facility		$930.44	$930.44	$1,411.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $930.44 / $1,618.88	Professional		$679.22	$930.44	$1,618.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,169.08 / $1,434.44 / $1,815.14	Professional		$1,169.08	$1,434.44	$1,815.14
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 $1,815.14 / $1,815.14 / $1,815.14	Professional		$1,815.14	$1,815.14	$1,815.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $736.66 / $1,052.38 / $1,104.99	Professional		$736.66	$1,052.38	$1,104.99
United Facility/Professional Professional Modifier Low / Median / High Price $483.46 / $696.58 / $1,195.80	Professional		$483.46	$696.58	$1,195.80