Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.81 / $862.81 / $862.81	Facility		$862.81	$862.81	$862.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.26 / $862.81 / $1,394.60	Professional		$677.26	$862.81	$1,394.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,082.90 / $3,523.90 / $14,999.25	Facility		$2,082.90	$3,523.90	$14,999.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,324.87 / $1,324.87 / $1,324.87	Professional		$1,324.87	$1,324.87	$1,324.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $895.00 / $1,968.85	Facility		$895.00	$895.00	$1,968.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $895.00 / $2,020.88	Professional		$653.35	$895.00	$2,020.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,394.60 / $1,690.10 / $2,091.90	Professional		$1,394.60	$1,690.10	$2,091.90
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 $2,266.23 / $2,266.23 / $2,266.23	Professional		$2,266.23	$2,266.23	$2,266.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $919.73 / $1,313.90 / $1,379.59	Professional		$919.73	$1,313.90	$1,379.59
United Facility/Professional Professional Modifier Low / Median / High Price $638.97 / $869.69 / $1,455.98	Professional		$638.97	$869.69	$1,455.98