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 $741.31 / $912.01 / $1,995.26	Professional		$741.31	$912.01	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $19,498.45	Facility		$4,168.69	$5,128.61	$19,498.45
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 $812.83 / $1,174.90 / $1,778.28	Professional		$812.83	$1,174.90	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $4,073.80	Professional		$912.01	$1,445.44	$4,073.80
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 $1,023.29 / $1,071.52 / $1,202.26	Professional		$1,023.29	$1,071.52	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $954.99	Professional		$32.36	$33.11	$954.99
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 $758.58 / $1,023.29 / $1,698.24	Professional		$758.58	$1,023.29	$1,698.24