Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.44 / $822.44 / $822.44	Facility		$822.44	$822.44	$822.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.71 / $822.44 / $1,369.36	Professional		$744.71	$822.44	$1,369.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,985.91 / $3,359.81 / $14,297.55	Facility		$1,985.91	$3,359.81	$14,297.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,262.88 / $2,077.11 / $2,351.35	Professional		$1,262.88	$2,077.11	$2,351.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.75 / $926.75 / $1,684.23	Facility		$926.75	$926.75	$1,684.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $787.74 / $1,945.64	Professional		$787.74	$787.74	$1,945.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,329.35 / $1,531.12 / $1,910.94	Professional		$1,329.35	$1,531.12	$1,910.94
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 $2,160.19 / $2,160.19 / $2,160.19	Professional		$2,160.19	$2,160.19	$2,160.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $799.50 / $1,142.15 / $1,199.25	Professional		$799.50	$1,142.15	$1,199.25
United Facility/Professional Professional Modifier Low / Median / High Price $632.65 / $829.00 / $1,423.11	Professional		$632.65	$829.00	$1,423.11