Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,754.23 / $7,762.47	Facility		$1,023.29	$2,754.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,819.70	Professional		$630.96	$831.76	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $10,471.29 / $16,595.87	Facility		$8,128.31	$10,471.29	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $1,513.56	Professional		$812.83	$1,258.93	$1,513.56
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 $691.83 / $1,047.13 / $1,548.82	Professional		$691.83	$1,047.13	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $3,548.13	Professional		$794.33	$1,258.93	$3,548.13
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 / $954.99 / $1,047.13	Professional		$870.96	$954.99	$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 $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 $676.08 / $891.25 / $1,548.82	Professional		$676.08	$891.25	$1,548.82