Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,802.08 / $2,802.08 / $7,265.00	Facility		$2,802.08	$2,802.08	$7,265.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.51 / $2,802.08 / $4,783.53	Professional		$1,663.51	$2,802.08	$4,783.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $888.80 / $1,082.02 / $1,082.02	Professional		$888.80	$1,082.02	$1,082.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39,621.00 / $39,621.00 / $39,621.00	Facility		$39,621.00	$39,621.00	$39,621.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,316.69 / $2,316.69 / $2,316.69	Professional		$2,316.69	$2,316.69	$2,316.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $623.42 / $969.78 / $11,092.50	Professional		$623.42	$969.78	$11,092.50
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 $897.61 / $900.51 / $1,004.73	Professional		$897.61	$900.51	$1,004.73
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 Facility Modifier Low / Median / High Price $1,690.00 / $5,247.00 / $8,995.00	Facility		$1,690.00	$5,247.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $708.40 / $1,156.21 / $2,973.77	Professional		$708.40	$1,156.21	$2,973.77