Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.96 / $785.96 / $785.96	Facility		$785.96	$785.96	$785.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.14 / $785.96 / $1,302.84	Professional		$692.14	$785.96	$1,302.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,896.87 / $3,209.17 / $13,663.24	Facility		$1,896.87	$3,209.17	$13,663.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,206.85 / $1,206.85 / $1,206.85	Professional		$1,206.85	$1,206.85	$1,206.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.63 / $886.63 / $1,738.15	Facility		$886.63	$886.63	$1,738.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $886.63 / $1,840.88	Professional		$647.24	$886.63	$1,840.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.18 / $1,850.00 / $2,234.98	Professional		$1,429.18	$1,850.00	$2,234.98
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 $2,064.37 / $2,064.37 / $2,064.37	Professional		$2,064.37	$2,064.37	$2,064.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $896.46 / $1,280.66 / $1,344.69	Professional		$896.46	$1,280.66	$1,344.69
United Facility/Professional Professional Modifier Low / Median / High Price $639.79 / $792.23 / $1,402.82	Professional		$639.79	$792.23	$1,402.82