Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.78 / $1,353.78 / $1,353.78	Facility		$1,353.78	$1,353.78	$1,353.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.06 / $1,434.55 / $2,250.09	Professional		$1,083.06	$1,434.55	$2,250.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,269.04 / $5,530.64 / $23,534.35	Facility		$3,269.04	$5,530.64	$23,534.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.38 / $1,769.38 / $3,171.21	Facility		$1,769.38	$1,769.38	$3,171.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,769.38 / $3,171.00	Professional		$1,291.65	$1,769.38	$3,171.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,324.94 / $2,882.92 / $3,640.36	Professional		$2,324.94	$2,882.92	$3,640.36
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 $3,555.79 / $3,555.79 / $3,555.79	Professional		$3,555.79	$3,555.79	$3,555.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,544.10 / $2,205.86 / $2,316.15	Professional		$1,544.10	$2,205.86	$2,316.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,013.35 / $1,364.57 / $2,416.28	Professional		$1,013.35	$1,364.57	$2,416.28