Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,548.13 / $8,912.51	Facility		$1,023.29	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,949.84	Professional		$707.95	$891.25	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $19,054.61	Facility		$4,168.69	$5,128.61	$19,054.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $1,698.24	Professional		$1,000.00	$1,412.54	$1,698.24
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 $724.44 / $1,122.02 / $1,621.81	Professional		$724.44	$1,122.02	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $3,801.89	Professional		$891.25	$1,412.54	$3,801.89
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 $1,000.00 / $1,047.13 / $1,174.90	Professional		$1,000.00	$1,047.13	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,659.59	Professional		$691.83	$954.99	$1,659.59