Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.65 / $790.65 / $790.65	Facility		$790.65	$790.65	$790.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.28 / $790.65 / $1,310.67	Professional		$696.28	$790.65	$1,310.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,909.59 / $3,230.69 / $13,744.83	Facility		$1,909.59	$3,230.69	$13,744.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.06 / $1,214.06 / $1,274.76	Professional		$1,214.06	$1,214.06	$1,274.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $1,748.58	Facility		$891.71	$891.71	$1,748.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $891.71 / $1,851.75	Professional		$650.95	$891.71	$1,851.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,437.71 / $1,837.07 / $2,236.42	Professional		$1,437.71	$1,837.07	$2,236.42
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 $2,076.69 / $2,076.69 / $2,076.69	Professional		$2,076.69	$2,076.69	$2,076.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $842.80 / $1,204.01 / $1,264.21	Professional		$842.80	$1,204.01	$1,264.21
United Facility/Professional Professional Modifier Low / Median / High Price $711.94 / $796.95 / $1,411.18	Professional		$711.94	$796.95	$1,411.18