Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,548.13 / $8,912.51	Facility		$1,202.26	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $2,951.21	Professional		$1,000.00	$1,258.93	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,623.41 / $26,302.68	Facility		$4,168.69	$5,623.41	$26,302.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $1,949.84	Professional		$1,412.54	$1,949.84	$1,949.84
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 $1,122.02 / $1,659.59 / $2,454.71	Professional		$1,122.02	$1,659.59	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $4,897.79	Professional		$1,258.93	$1,995.26	$4,897.79
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 $1,380.38 / $1,479.11 / $1,659.59	Professional		$1,380.38	$1,479.11	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,258.93	Professional		$32.36	$33.11	$1,258.93
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 $1,047.13 / $1,412.54 / $2,344.23	Professional		$1,047.13	$1,412.54	$2,344.23