Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.79 / $669.79 / $669.79	Facility		$669.79	$669.79	$669.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.50 / $669.79 / $1,077.56	Professional		$531.50	$669.79	$1,077.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,617.03 / $2,735.73 / $11,643.84	Facility		$1,617.03	$2,735.73	$11,643.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.49 / $1,028.49 / $1,028.49	Professional		$1,028.49	$1,028.49	$1,028.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.38 / $702.38 / $1,518.69	Facility		$702.38	$702.38	$1,518.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $702.38 / $1,569.00	Professional		$512.74	$702.38	$1,569.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,112.22 / $1,359.54 / $1,723.08	Professional		$1,112.22	$1,359.54	$1,723.08
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 $1,759.25 / $1,759.25 / $1,759.25	Professional		$1,759.25	$1,759.25	$1,759.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $824.66 / $1,178.08 / $1,236.99	Professional		$824.66	$1,178.08	$1,236.99
United Facility/Professional Professional Modifier Low / Median / High Price $467.32 / $675.13 / $1,158.98	Professional		$467.32	$675.13	$1,158.98