Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,621.81 / $5,623.41	Facility		$380.19	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $478.63 / $1,023.29	Professional		$177.83	$478.63	$1,023.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,737.80 / $3,019.95	Facility		$933.25	$1,737.80	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $537.03 / $912.01	Professional		$208.93	$537.03	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $1,659.59	Facility		$398.11	$588.84	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $457.09 / $1,023.29	Professional		$190.55	$457.09	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $891.25 / $2,344.23	Professional		$245.47	$891.25	$2,344.23
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 $213.80 / $229.09 / $707.95	Professional		$213.80	$229.09	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $794.33	Professional		$32.36	$33.11	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $4,570.88	Facility		$891.25	$2,238.72	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $489.78 / $1,023.29	Professional		$190.55	$489.78	$1,023.29