Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.64 / $739.64 / $739.64	Facility		$739.64	$739.64	$739.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.34 / $739.64 / $1,226.05	Professional		$651.34	$739.64	$1,226.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,785.57 / $3,020.87 / $12,858.11	Facility		$1,785.57	$3,020.87	$12,858.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $967.10 / $1,635.76	Facility		$967.10	$967.10	$1,635.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $967.10 / $1,732.50	Professional		$705.98	$967.10	$1,732.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,344.96 / $1,718.55 / $2,095.13	Professional		$1,344.96	$1,718.55	$2,095.13
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 $1,942.71 / $1,942.71 / $1,942.71	Professional		$1,942.71	$1,942.71	$1,942.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $788.43 / $1,126.33 / $1,182.65	Professional		$788.43	$1,126.33	$1,182.65
United Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $745.54 / $1,279.83	Professional		$555.00	$745.54	$1,279.83