Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,862.09 / $5,623.41	Facility		$741.31	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,698.24	Professional		$645.65	$851.14	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $15,135.61	Facility		$1,995.26	$2,691.53	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,621.81	Professional		$812.83	$1,122.02	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,513.56	Professional		$602.56	$1,000.00	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,202.26 / $2,290.87	Professional		$575.44	$1,202.26	$2,290.87
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 $851.14 / $851.14 / $1,122.02	Professional		$851.14	$851.14	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $912.01	Professional		$32.36	$33.11	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,786.30	Facility		$1,096.48	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,479.11	Professional		$630.96	$870.96	$1,479.11