Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.73 / $2,051.03 / $3,304.44	Facility		$1,297.73	$2,051.03	$3,304.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.44 / $1,038.18 / $1,139.46	Professional		$832.44	$1,038.18	$1,139.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,481.30 / $1,772.49 / $2,240.94	Facility		$1,481.30	$1,772.49	$2,240.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,266.07 / $1,266.07 / $1,924.43	Professional		$1,266.07	$1,266.07	$1,924.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,422.18 / $3,028.46 / $5,828.22	Facility		$1,422.18	$3,028.46	$5,828.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,519.28 / $1,542.30 / $1,847.85	Professional		$1,519.28	$1,542.30	$1,847.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,266.07 / $1,772.50 / $2,658.75	Professional		$1,266.07	$1,772.50	$2,658.75
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 $1,645.89 / $1,645.89 / $1,645.89	Professional		$1,645.89	$1,645.89	$1,645.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,861.12	Professional		$30.00	$30.00	$1,861.12
United Facility/Professional Professional Modifier Low / Median / High Price $531.75 / $759.64 / $1,266.07	Professional		$531.75	$759.64	$1,266.07