Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.11 / $881.11 / $881.11	Facility		$881.11	$881.11	$881.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.39 / $881.11 / $1,364.63	Professional		$688.39	$881.11	$1,364.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,127.42 / $3,599.22 / $15,317.53	Facility		$2,127.42	$3,599.22	$15,317.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.22 / $963.22 / $2,221.23	Facility		$963.22	$963.22	$2,221.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $963.22 / $2,064.00	Professional		$703.15	$963.22	$2,064.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.20 / $1,942.86 / $2,437.46	Professional		$1,513.20	$1,942.86	$2,437.46
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 $2,314.30 / $2,314.30 / $2,314.30	Professional		$2,314.30	$2,314.30	$2,314.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $939.24 / $1,341.78 / $1,408.86	Professional		$939.24	$1,341.78	$1,408.86
United Facility/Professional Professional Modifier Low / Median / High Price $677.78 / $888.14 / $1,564.81	Professional		$677.78	$888.14	$1,564.81