Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,073.80 / $9,772.37	Facility		$1,122.02	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $2,137.96	Professional		$851.14	$1,023.29	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,511.38 / $15,135.61	Facility		$4,265.80	$8,511.38	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,548.82	Professional		$1,047.13	$1,230.27	$1,548.82
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 $707.95 / $1,174.90 / $1,995.26	Professional		$707.95	$1,174.90	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $7,413.10	Professional		$954.99	$1,621.81	$7,413.10
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 $1,071.52 / $1,122.02 / $1,230.27	Professional		$1,071.52	$1,122.02	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
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 $831.76 / $1,122.02 / $1,819.70	Professional		$831.76	$1,122.02	$1,819.70