Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.09 / $2,164.46 / $3,487.19	Facility		$1,336.09	$2,164.46	$3,487.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.48 / $1,095.58 / $1,202.48	Professional		$878.48	$1,095.58	$1,202.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,563.22 / $1,870.52 / $2,364.87	Facility		$1,563.22	$1,870.52	$2,364.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,695.03 / $3,195.93 / $6,151.35	Facility		$1,695.03	$3,195.93	$6,151.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,603.31 / $1,627.23 / $1,949.60	Professional		$1,603.31	$1,627.23	$1,949.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,870.53 / $2,805.79	Professional		$1,336.09	$1,870.53	$2,805.79
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,964.05	Professional		$30.00	$30.00	$1,964.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,336.09 / $1,402.89 / $3,300.14	Facility		$1,336.09	$1,402.89	$3,300.14
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $801.65 / $1,336.09	Professional		$561.16	$801.65	$1,336.09