Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,819.70 / $5,623.41	Facility		$741.31	$1,819.70	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,380.38	Professional		$524.81	$645.65	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $12,882.50	Facility		$2,089.30	$2,754.23	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,288.25	Professional		$707.95	$977.24	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,258.93	Professional		$562.34	$831.76	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $2,570.40	Professional		$660.69	$1,023.29	$2,570.40
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 $691.83 / $741.31 / $891.25	Professional		$691.83	$741.31	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $776.25	Professional		$32.36	$33.11	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,023.29 / $3,235.94	Facility		$158.49	$1,023.29	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,230.27	Professional		$537.03	$724.44	$1,230.27