Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,857.07 / $1,857.07 / $6,901.99	Facility		$1,857.07	$1,857.07	$6,901.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.07 / $1,857.07 / $2,339.90	Professional		$1,857.07	$1,857.07	$2,339.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,158.99 / $2,270.34 / $17,238.37	Facility		$1,158.99	$2,270.34	$17,238.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Facility		$2,039.14	$2,039.14	$2,039.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Professional		$2,039.14	$2,039.14	$2,039.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $27.42 / $2,768.83	Professional		$15.12	$27.42	$2,768.83
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 $17.51 / $17.64 / $19.27	Professional		$17.51	$17.64	$19.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,875.28 / $2,123.77 / $2,250.34	Professional		$1,875.28	$2,123.77	$2,250.34