Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,890.45 / $9,772.37	Facility		$1,122.02	$3,890.45	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $2,290.87	Professional		$891.25	$1,047.13	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,511.38 / $16,595.87	Facility		$4,265.80	$8,511.38	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,348.96 / $1,698.24	Professional		$416.87	$1,348.96	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $831.76 / $5,623.41	Facility		$660.69	$831.76	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $2,137.96	Professional		$776.25	$1,258.93	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,778.28 / $6,025.60	Professional		$977.24	$1,778.28	$6,025.60
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 $1,174.90 / $1,230.27 / $1,348.96	Professional		$1,174.90	$1,230.27	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,318.26	Professional		$32.36	$33.11	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,370.32 / $12,302.69	Facility		$1,905.46	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,995.26	Professional		$891.25	$1,202.26	$1,995.26