Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $7,762.47	Facility		$1,202.26	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,467.37	Professional		$1,174.90	$1,548.82	$3,467.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $13,182.57 / $29,512.09	Facility		$10,715.19	$13,182.57	$29,512.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,570.40	Professional		$1,698.24	$2,238.72	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $2,951.21	Professional		$1,258.93	$1,995.26	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $8,128.31	Professional		$1,479.11	$2,344.23	$8,128.31
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 $1,584.89 / $1,737.80 / $1,949.84	Professional		$1,584.89	$1,737.80	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $275.42	Professional		$32.36	$32.36	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,882.50	Facility		$2,137.96	$5,370.32	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,951.21	Professional		$1,288.25	$1,737.80	$2,951.21