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 $537.03 / $660.69 / $1,548.82	Professional		$537.03	$660.69	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $14,125.38	Facility		$4,073.80	$4,897.79	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,288.25	Professional		$758.58	$1,071.52	$1,288.25
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 $588.84 / $891.25 / $1,288.25	Professional		$588.84	$891.25	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $2,290.87	Professional		$676.08	$1,071.52	$2,290.87
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 $724.44 / $794.33 / $891.25	Professional		$724.44	$794.33	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $691.83	Professional		$32.36	$33.11	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $7,585.78	Facility		$1,513.56	$3,630.78	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,288.25	Professional		$575.44	$758.58	$1,288.25