Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,463.10 / $1,463.10 / $1,463.10	Facility		$1,463.10	$1,463.10	$1,463.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.27 / $1,463.10 / $2,111.48	Professional		$1,260.27	$1,463.10	$2,111.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,532.98 / $5,977.18 / $25,434.94	Facility		$3,532.98	$5,977.18	$25,434.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,523.27 / $1,523.27 / $2,975.89	Facility		$1,523.27	$1,523.27	$2,975.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,523.27 / $3,427.13	Professional		$1,111.99	$1,523.27	$3,427.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,512.69 / $3,251.71 / $4,138.54	Professional		$2,512.69	$3,251.71	$4,138.54
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 $3,842.93 / $3,842.93 / $3,842.93	Professional		$3,842.93	$3,842.93	$3,842.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,559.61 / $2,228.02 / $2,339.42	Professional		$1,559.61	$2,228.02	$2,339.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,624.58 / $1,624.58 / $1,624.58	Facility		$1,624.58	$1,624.58	$1,624.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,013.49 / $1,474.76 / $2,589.48	Professional		$1,013.49	$1,474.76	$2,589.48