Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $7,762.47	Facility		$1,023.29	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,698.24	Professional		$616.60	$776.25	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $16,218.10	Facility		$4,168.69	$5,128.61	$16,218.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,513.56	Professional		$891.25	$1,230.27	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,513.56	Professional		$660.69	$1,047.13	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $3,981.07	Professional		$794.33	$1,258.93	$3,981.07
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 $870.96 / $933.25 / $1,047.13	Professional		$870.96	$933.25	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $794.33	Professional		$32.36	$33.11	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,302.69	Facility		$2,137.96	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,479.11	Professional		$645.65	$870.96	$1,479.11