Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,621.81	Facility		$812.83	$812.83	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,445.44	Professional		$676.08	$812.83	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $10,964.78	Facility		$2,187.76	$3,981.07	$10,964.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,202.26	Professional		$1,023.29	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,778.28	Facility		$1,122.02	$1,122.02	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,737.80	Professional		$812.83	$812.83	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,137.96	Professional		$1,348.96	$1,737.80	$2,137.96
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 $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,288.25	Professional		$891.25	$891.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,258.93 / $2,290.87	Facility		$602.56	$1,258.93	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,230.27	Professional		$588.84	$794.33	$1,230.27