Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,090.30 / $8,511.38	Facility		$891.25	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $1,230.27	Professional		$436.52	$575.44	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $11,481.54	Facility		$2,511.89	$3,019.95	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $977.24	Professional		$676.08	$870.96	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,096.48	Professional		$501.19	$758.58	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $2,137.96	Professional		$562.34	$891.25	$2,137.96
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 $602.56 / $676.08 / $758.58	Professional		$602.56	$676.08	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $112.20	Professional		$32.36	$32.36	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,786.30	Facility		$1,096.48	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,096.48	Professional		$478.63	$660.69	$1,096.48