Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.87 / $3,564.09 / $6,318.24	Facility		$991.87	$3,564.09	$6,318.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $991.87 / $1,053.85	Professional		$991.87	$991.87	$1,053.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $685.47 / $905.44 / $12,622.32	Facility		$685.47	$905.44	$12,622.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,239.83 / $1,239.83 / $1,239.83	Professional		$1,239.83	$1,239.83	$1,239.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.17 / $1,460.53 / $2,632.90	Professional		$1,001.17	$1,460.53	$2,632.90
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 $1,531.21 / $1,531.21 / $1,531.21	Professional		$1,531.21	$1,531.21	$1,531.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,098.29	Professional		$1,033.20	$1,033.20	$1,098.29