Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,507.41 / $1,507.41 / $1,507.41	Facility		$1,507.41	$1,507.41	$1,507.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.24 / $1,507.96 / $2,272.96	Professional		$1,121.24	$1,507.96	$2,272.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,639.51 / $6,157.41 / $26,205.08	Facility		$3,639.51	$6,157.41	$26,205.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,314.66 / $2,314.66 / $2,314.66	Professional		$2,314.66	$2,314.66	$2,314.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.51 / $2,119.51 / $2,777.53	Facility		$2,119.51	$2,119.51	$2,777.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $2,119.51 / $3,530.63	Professional		$1,547.24	$2,119.51	$3,530.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,588.77 / $3,289.21 / $4,168.74	Professional		$2,588.77	$3,289.21	$4,168.74
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 $3,959.29 / $3,959.29 / $3,959.29	Professional		$3,959.29	$3,959.29	$3,959.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,985.87 / $2,836.96 / $2,978.80	Professional		$1,985.87	$2,836.96	$2,978.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,164.70 / $1,519.42 / $2,690.48	Professional		$1,164.70	$1,519.42	$2,690.48