Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $10,000.00	Facility		$1,148.15	$3,235.94	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $2,511.89	Professional		$977.24	$1,202.26	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $14,125.38 / $27,542.29	Facility		$5,248.07	$14,125.38	$27,542.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,187.76	Professional		$1,513.56	$1,819.70	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $11,220.18 / $14,125.38	Facility		$5,370.32	$11,220.18	$14,125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $2,570.40	Professional		$1,023.29	$1,819.70	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $5,623.41	Professional		$1,202.26	$2,089.30	$5,623.41
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 $1,412.54 / $1,584.89 / $1,778.28	Professional		$1,412.54	$1,584.89	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,691.53	Professional		$1,122.02	$1,479.11	$2,691.53