Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.13 / $695.13 / $695.13	Facility		$695.13	$695.13	$695.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.85 / $695.13 / $997.53	Professional		$474.85	$695.13	$997.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.44 / $2,733.04 / $11,636.68	Facility		$1,615.44	$2,733.04	$11,636.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.97 / $1,027.84 / $1,027.84	Professional		$666.97	$1,027.84	$1,027.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $769.23 / $769.23 / $1,147.16	Facility		$769.23	$769.23	$1,147.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.54 / $769.23 / $1,567.88	Professional		$561.54	$769.23	$1,567.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.86 / $1,352.44 / $1,655.11	Professional		$1,042.86	$1,352.44	$1,655.11
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 $1,758.17 / $1,758.17 / $1,758.17	Professional		$1,758.17	$1,758.17	$1,758.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $763.48 / $1,090.69 / $1,145.22	Professional		$763.48	$1,090.69	$1,145.22
United Facility/Professional Professional Modifier Low / Median / High Price $433.57 / $646.54 / $1,184.70	Professional		$433.57	$646.54	$1,184.70