Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.48 / $933.48 / $933.48	Facility		$933.48	$933.48	$933.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.07 / $933.48 / $1,547.43	Professional		$822.07	$933.48	$1,547.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,253.03 / $3,811.73 / $16,227.84	Facility		$2,253.03	$3,811.73	$16,227.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,329.56 / $1,329.56 / $2,064.41	Facility		$1,329.56	$1,329.56	$2,064.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $970.58 / $2,317.82	Professional		$970.58	$970.58	$2,317.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,603.12 / $1,922.01 / $2,435.96	Professional		$1,603.12	$1,922.01	$2,435.96
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 $2,451.83 / $2,451.83 / $2,451.83	Professional		$2,451.83	$2,451.83	$2,451.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $995.05 / $1,421.50 / $1,492.57	Professional		$995.05	$1,421.50	$1,492.57
United Facility/Professional Professional Modifier Low / Median / High Price $718.06 / $940.91 / $1,652.11	Professional		$718.06	$940.91	$1,652.11