Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.52 / $920.52 / $920.52	Facility		$920.52	$920.52	$920.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.39 / $937.57 / $1,426.80	Professional		$719.39	$937.57	$1,426.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,140.14 / $3,620.74 / $15,409.92	Facility		$2,140.14	$3,620.74	$15,409.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,049.39 / $1,361.14 / $1,361.14	Professional		$1,049.39	$1,361.14	$1,361.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.20 / $1,162.20 / $1,960.31	Facility		$1,162.20	$1,162.20	$1,960.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $1,162.20 / $2,076.38	Professional		$848.41	$1,162.20	$2,076.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,522.32 / $2,036.79 / $2,507.10	Professional		$1,522.32	$2,036.79	$2,507.10
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 $2,328.26 / $2,328.26 / $2,328.26	Professional		$2,328.26	$2,328.26	$2,328.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $944.90 / $1,349.86 / $1,417.35	Professional		$944.90	$1,349.86	$1,417.35
United Facility/Professional Professional Modifier Low / Median / High Price $661.28 / $893.49 / $1,533.82	Professional		$661.28	$893.49	$1,533.82