Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,344.23 / $7,762.47	Facility		$1,023.29	$2,344.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,290.87	Professional		$933.25	$1,174.90	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $8,912.51 / $22,387.21	Facility		$7,413.10	$8,912.51	$22,387.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,041.74	Professional		$1,174.90	$1,621.81	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,238.72	Professional		$977.24	$1,445.44	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $7,079.46	Professional		$1,071.52	$1,698.24	$7,079.46
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 $1,202.26 / $1,258.93 / $1,380.38	Professional		$1,202.26	$1,258.93	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,023.29	Professional		$32.36	$33.11	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,365.16 / $7,585.78	Facility		$1,513.56	$4,365.16	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,290.87	Professional		$1,000.00	$1,348.96	$2,290.87