Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.58 / $885.58 / $885.58	Facility		$885.58	$885.58	$885.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.22 / $885.58 / $1,380.57	Professional		$788.22	$885.58	$1,380.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,138.55 / $3,618.05 / $15,395.13	Facility		$2,138.55	$3,618.05	$15,395.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,359.84 / $1,359.84 / $1,427.83	Professional		$1,359.84	$1,359.84	$1,427.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,945.74	Facility		$1,260.83	$1,260.83	$1,945.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $1,234.88 / $2,074.13	Professional		$920.41	$1,234.88	$2,074.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,520.87 / $1,814.28 / $2,299.41	Professional		$1,520.87	$1,814.28	$2,299.41
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 $2,326.04 / $2,326.04 / $2,326.04	Professional		$2,326.04	$2,326.04	$2,326.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $943.99 / $1,348.57 / $1,415.99	Professional		$943.99	$1,348.57	$1,415.99
United Facility/Professional Professional Modifier Low / Median / High Price $681.22 / $892.63 / $1,580.61	Professional		$681.22	$892.63	$1,580.61