Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.75 / $1,916.09 / $9,691.00	Facility		$1,000.75	$1,916.09	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.48 / $1,000.75 / $1,554.73	Professional		$836.48	$1,000.75	$1,554.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,429.20 / $9,474.24 / $18,972.16	Facility		$4,429.20	$9,474.24	$18,972.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.35 / $1,193.58 / $1,389.21	Professional		$1,007.35	$1,193.58	$1,389.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.90 / $1,236.80 / $1,927.57	Professional		$889.90	$1,236.80	$1,927.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $841.80 / $1,375.97 / $3,743.93	Professional		$841.80	$1,375.97	$3,743.93
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 $903.86 / $1,042.22 / $1,169.13	Professional		$903.86	$1,042.22	$1,169.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,322.02	Professional		$32.34	$32.34	$1,322.02
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $841.61 / $1,145.19 / $2,024.91	Professional		$841.61	$1,145.19	$2,024.91