Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,819.70	Facility		$870.96	$870.96	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,819.70	Professional		$707.95	$954.99	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,467.37 / $12,302.69	Facility		$2,137.96	$3,467.37	$12,302.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,137.96	Facility		$1,023.29	$1,023.29	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $2,041.74	Professional		$741.31	$741.31	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,398.83	Professional		$1,513.56	$1,905.46	$2,398.83
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 $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,348.96	Professional		$933.25	$933.25	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,630.27	Facility		$1,071.52	$1,412.54	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,348.96	Professional		$676.08	$891.25	$1,348.96