Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.22 / $846.22 / $846.22	Facility		$846.22	$846.22	$846.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.65 / $846.22 / $1,232.35	Professional		$698.65	$846.22	$1,232.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,043.15 / $3,456.65 / $14,710.80	Facility		$2,043.15	$3,456.65	$14,710.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,299.39 / $1,299.39 / $1,299.39	Professional		$1,299.39	$1,299.39	$1,299.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,105.99 / $1,105.99 / $1,690.23	Facility		$1,105.99	$1,105.99	$1,690.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $1,105.99 / $1,982.25	Professional		$807.37	$1,105.99	$1,982.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,453.26 / $1,782.79 / $2,236.66	Professional		$1,453.26	$1,782.79	$2,236.66
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 $2,222.64 / $2,222.64 / $2,222.64	Professional		$2,222.64	$2,222.64	$2,222.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $902.04 / $1,288.63 / $1,353.06	Professional		$902.04	$1,288.63	$1,353.06
United Facility/Professional Professional Modifier Low / Median / High Price $660.38 / $852.96 / $1,510.36	Professional		$660.38	$852.96	$1,510.36