Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.52 / $1,464.52 / $1,464.52	Facility		$1,464.52	$1,464.52	$1,464.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.32 / $1,464.52 / $2,030.53	Professional		$1,071.32	$1,464.52	$2,030.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,536.16 / $5,982.56 / $25,459.48	Facility		$3,536.16	$5,982.56	$25,459.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,248.81 / $2,248.81 / $2,248.81	Professional		$2,248.81	$2,248.81	$2,248.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $2,513.71	Facility		$1,800.00	$1,800.00	$2,513.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,800.00 / $3,430.50	Professional		$1,314.00	$1,800.00	$3,430.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,367.17 / $2,958.96 / $3,669.11	Professional		$2,367.17	$2,958.96	$3,669.11
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 $3,846.65 / $3,846.65 / $3,846.65	Professional		$3,846.65	$3,846.65	$3,846.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,670.40 / $2,386.29 / $2,505.60	Professional		$1,670.40	$2,386.29	$2,505.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.44 / $1,476.19 / $2,613.92	Professional		$1,019.44	$1,476.19	$2,613.92