Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.90 / $1,226.90 / $1,226.90	Facility		$1,226.90	$1,226.90	$1,226.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.01 / $1,226.90 / $1,909.64	Professional		$917.01	$1,226.90	$1,909.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,852.46 / $4,825.85 / $20,538.66	Facility		$2,852.46	$4,825.85	$20,538.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,544.16 / $1,544.16 / $2,215.35	Facility		$1,544.16	$1,544.16	$2,215.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,544.16 / $2,767.50	Professional		$1,127.24	$1,544.16	$2,767.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,849.78 / $2,387.05 / $2,959.94	Professional		$1,849.78	$2,387.05	$2,959.94
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 $3,103.17 / $3,103.17 / $3,103.17	Professional		$3,103.17	$3,103.17	$3,103.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,347.54 / $1,925.07 / $2,021.32	Professional		$1,347.54	$1,925.07	$2,021.32
United Facility/Professional Professional Modifier Low / Median / High Price $837.28 / $1,180.25 / $2,108.71	Professional		$837.28	$1,180.25	$2,108.71