Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.12 / $957.12 / $957.12	Facility		$957.12	$957.12	$957.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.65 / $975.53 / $1,693.30	Professional		$846.65	$975.53	$1,693.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.27 / $3,908.57 / $16,638.86	Facility		$2,310.27	$3,908.57	$16,638.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,469.69 / $1,469.69 / $1,469.69	Professional		$1,469.69	$1,469.69	$1,469.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $2,438.48	Facility		$1,226.77	$1,226.77	$2,438.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $1,226.77 / $2,241.75	Professional		$895.54	$1,226.77	$2,241.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,643.73 / $2,223.87 / $2,707.32	Professional		$1,643.73	$2,223.87	$2,707.32
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 $2,513.94 / $2,513.94 / $2,513.94	Professional		$2,513.94	$2,513.94	$2,513.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,020.26 / $1,457.52 / $1,530.39	Professional		$1,020.26	$1,457.52	$1,530.39
United Facility/Professional Professional Modifier Low / Median / High Price $862.68 / $964.75 / $1,708.31	Professional		$862.68	$964.75	$1,708.31