Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.38 / $1,007.38 / $1,007.38	Facility		$1,007.38	$1,007.38	$1,007.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $838.60 / $1,007.38 / $1,624.20	Professional		$838.60	$1,007.38	$1,624.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,432.69 / $4,115.70 / $17,512.55	Facility		$2,432.69	$4,115.70	$17,512.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,316.65 / $1,316.65 / $1,986.14	Facility		$1,316.65	$1,316.65	$1,986.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $1,316.65 / $2,359.50	Professional		$961.15	$1,316.65	$2,359.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,730.04 / $2,237.67 / $2,849.48	Professional		$1,730.04	$2,237.67	$2,849.48
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 $2,645.94 / $2,645.94 / $2,645.94	Professional		$2,645.94	$2,645.94	$2,645.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,073.84 / $1,534.06 / $1,610.76	Professional		$1,073.84	$1,534.06	$1,610.76
United Facility/Professional Professional Modifier Low / Median / High Price $742.55 / $1,015.42 / $1,782.93	Professional		$742.55	$1,015.42	$1,782.93