Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,073.80 / $9,772.37	Facility		$1,122.02	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $2,398.83	Professional		$912.01	$1,148.15	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,964.78 / $22,908.68	Facility		$8,912.51	$10,964.78	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,137.96	Professional		$1,258.93	$1,737.80	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,187.76	Professional		$977.24	$1,479.11	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $4,570.88	Professional		$1,122.02	$1,778.28	$4,570.88
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 $1,230.27 / $1,318.26 / $1,479.11	Professional		$1,230.27	$1,318.26	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,071.52	Professional		$32.36	$33.11	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,025.60 / $12,302.69	Facility		$2,137.96	$6,025.60	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,137.96	Professional		$933.25	$1,258.93	$2,137.96