Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,805.33 / $3,929.08 / $5,746.23	Facility		$1,805.33	$3,929.08	$5,746.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,447.57 / $1,805.33 / $1,893.40	Professional		$1,447.57	$1,805.33	$1,893.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,575.89 / $3,082.26 / $3,896.86	Facility		$2,575.89	$3,082.26	$3,896.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,107.10 / $8,014.06 / $10,134.62	Facility		$4,107.10	$8,014.06	$10,134.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,201.69 / $2,554.92 / $3,162.03	Professional		$2,201.69	$2,554.92	$3,162.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $2,311.69 / $3,984.93	Professional		$120.00	$2,311.69	$3,984.93
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 $1,100.81 / $1,510.31 / $2,752.03	Professional		$1,100.81	$1,510.31	$2,752.03
United Facility/Professional Professional Modifier Low / Median / High Price $924.68 / $1,320.97 / $2,201.62	Professional		$924.68	$1,320.97	$2,201.62