Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,348.96 / $2,344.23	Facility		$812.83	$1,348.96	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $812.83	Professional		$524.81	$645.65	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,288.25	Facility		$954.99	$1,071.52	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,479.11 / $3,630.78	Facility		$512.86	$1,479.11	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $954.99 / $1,148.15	Professional		$912.01	$954.99	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,071.52 / $1,445.44	Professional		$346.74	$1,071.52	$1,445.44
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 $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,584.89	Facility		$794.33	$794.33	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $794.33	Professional		$331.13	$467.74	$794.33