Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,041.74 / $2,630.27	Facility		$1,023.29	$2,041.74	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,288.25	Professional		$1,023.29	$1,047.13	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,398.83 / $12,022.64	Facility		$851.14	$2,398.83	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,230.27	Professional		$1,096.48	$1,096.48	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $2,290.87 / $2,951.21	Professional		$537.03	$2,290.87	$2,951.21
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $2,511.89	Professional		$1,513.56	$2,511.89	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,348.96	Facility		$1,071.52	$1,348.96	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,202.26	Professional		$1,071.52	$1,148.15	$1,202.26