Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $9,772.37	Facility		$1,023.29	$3,801.89	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $1,174.90	Professional		$537.03	$602.56	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,709.64 / $12,302.69	Facility		$4,265.80	$8,709.64	$12,302.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,122.02	Professional		$707.95	$977.24	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $11,748.98 / $12,882.50	Facility		$7,762.47	$11,748.98	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,258.93	Professional		$549.54	$851.14	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $3,801.89	Professional		$602.56	$977.24	$3,801.89
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 $707.95 / $758.58 / $831.76	Professional		$707.95	$758.58	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,456.54 / $15,488.17	Facility		$2,570.40	$6,456.54	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,258.93	Professional		$588.84	$758.58	$1,258.93