Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,187.76 / $5,888.44	Facility		$1,071.52	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,454.71	Professional		$933.25	$1,096.48	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,168.69 / $18,197.01	Facility		$2,818.38	$4,168.69	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,905.46	Professional		$1,258.93	$1,513.56	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,288.25 / $2,691.53	Facility		$398.11	$1,288.25	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $2,290.87	Professional		$870.96	$1,380.38	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $4,897.79	Professional		$1,071.52	$1,949.84	$4,897.79
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 / $1,348.96 / $1,513.56	Professional		$1,174.90	$1,348.96	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,479.11	Professional		$32.36	$33.11	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,548.13 / $6,760.83	Facility		$1,096.48	$3,548.13	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,137.96	Professional		$954.99	$1,258.93	$2,137.96