Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $9,332.54	Facility		$1,202.26	$2,884.03	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $2,187.76	Professional		$954.99	$1,230.27	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,232.93 / $21,379.62	Facility		$5,370.32	$10,232.93	$21,379.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,022.64 / $13,182.57	Facility		$7,413.10	$12,022.64	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $2,290.87	Professional		$977.24	$1,548.82	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $5,248.07	Professional		$1,071.52	$1,737.80	$5,248.07
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 $1,258.93 / $1,348.96 / $1,479.11	Professional		$1,258.93	$1,348.96	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,623.41 / $9,772.37	Facility		$1,698.24	$5,623.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,344.23	Professional		$1,096.48	$1,380.38	$2,344.23