Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,196.95 / $1,196.95 / $1,196.95	Facility		$1,196.95	$1,196.95	$1,196.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.25 / $1,196.95 / $1,570.35	Professional		$834.25	$1,196.95	$1,570.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,889.03 / $4,887.72 / $20,808.09	Facility		$2,889.03	$4,887.72	$20,808.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,837.95 / $1,837.95 / $1,837.95	Professional		$1,837.95	$1,837.95	$1,837.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.30 / $1,167.30 / $2,054.91	Facility		$1,167.30	$1,167.30	$2,054.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $1,167.30 / $2,803.50	Professional		$852.13	$1,167.30	$2,803.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,934.69 / $2,395.90 / $2,911.08	Professional		$1,934.69	$2,395.90	$2,911.08
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 $3,143.87 / $3,143.87 / $3,143.87	Professional		$3,143.87	$3,143.87	$3,143.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,365.22 / $1,950.32 / $2,047.83	Professional		$1,365.22	$1,950.32	$2,047.83
United Facility/Professional Professional Modifier Low / Median / High Price $811.34 / $1,206.49 / $2,136.37	Professional		$811.34	$1,206.49	$2,136.37