Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.79 / $1,370.96 / $1,980.27	Facility		$727.79	$1,370.96	$1,980.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.09 / $761.64 / $1,287.22	Professional		$660.09	$761.64	$1,287.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,142.46 / $3,583.96 / $11,195.00	Facility		$1,142.46	$3,583.96	$11,195.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $583.92 / $651.63	Professional		$3.50	$583.92	$651.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.04 / $1,881.72 / $3,895.41	Facility		$615.04	$1,881.72	$3,895.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.82 / $1,168.61 / $1,540.85	Professional		$432.82	$1,168.61	$1,540.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $863.20 / $1,354.03 / $2,260.00	Professional		$863.20	$1,354.03	$2,260.00
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 $1,100.15 / $1,100.15 / $1,100.15	Professional		$1,100.15	$1,100.15	$1,100.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $1,150.93 / $1,269.41	Professional		$44.25	$1,150.93	$1,269.41
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $507.76 / $846.27	Professional		$355.43	$507.76	$846.27