Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,026.96 / $1,026.96 / $1,026.96	Facility		$1,026.96	$1,026.96	$1,026.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.40 / $1,026.96 / $1,598.45	Professional		$854.40	$1,026.96	$1,598.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,388.17 / $4,040.38 / $17,191.70	Facility		$2,388.17	$4,040.38	$17,191.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,209.76 / $1,518.53 / $1,518.53	Professional		$1,209.76	$1,518.53	$1,518.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $2,064.08	Facility		$1,172.51	$1,172.51	$2,064.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $1,172.51 / $2,316.38	Professional		$855.93	$1,172.51	$2,316.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.35 / $2,357.55 / $2,917.93	Professional		$1,698.35	$2,357.55	$2,917.93
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 $2,597.48 / $2,597.48 / $2,597.48	Professional		$2,597.48	$2,597.48	$2,597.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,127.95 / $1,611.37 / $1,691.93	Professional		$1,127.95	$1,611.37	$1,691.93
United Facility/Professional Professional Modifier Low / Median / High Price $850.01 / $996.81 / $1,765.08	Professional		$850.01	$996.81	$1,765.08