Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.41 / $705.41 / $705.41	Facility		$705.41	$705.41	$705.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.87 / $718.47 / $1,097.96	Professional		$634.87	$718.47	$1,097.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,639.29 / $2,773.39 / $11,808.79	Facility		$1,639.29	$2,773.39	$11,808.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.39 / $1,043.06 / $1,043.06	Professional		$911.39	$1,043.06	$1,043.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.19 / $969.19 / $1,509.70	Facility		$969.19	$969.19	$1,509.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.51 / $707.51 / $1,607.04	Professional		$707.51	$707.51	$1,607.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,235.21 / $1,646.94 / $2,019.49	Professional		$1,235.21	$1,646.94	$2,019.49
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 $1,784.19 / $1,784.19 / $1,784.19	Professional		$1,784.19	$1,784.19	$1,784.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $724.10 / $1,034.44 / $1,086.16	Professional		$724.10	$1,034.44	$1,086.16
United Facility/Professional Professional Modifier Low / Median / High Price $567.27 / $684.70 / $1,212.42	Professional		$567.27	$684.70	$1,212.42