Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.84 / $830.84 / $830.84	Facility		$830.84	$830.84	$830.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.62 / $846.81 / $1,287.85	Professional		$725.62	$846.81	$1,287.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,006.58 / $3,394.78 / $14,443.48	Facility		$2,006.58	$3,394.78	$14,443.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.77 / $1,275.77 / $1,275.77	Professional		$1,275.77	$1,275.77	$1,275.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.63 / $908.63 / $1,815.07	Facility		$908.63	$908.63	$1,815.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $908.63 / $1,945.88	Professional		$663.30	$908.63	$1,945.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,426.84 / $1,720.08 / $2,180.03	Professional		$1,426.84	$1,720.08	$2,180.03
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 $2,182.23 / $2,182.23 / $2,182.23	Professional		$2,182.23	$2,182.23	$2,182.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $885.64 / $1,265.21 / $1,328.47	Professional		$885.64	$1,265.21	$1,328.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,678.64 / $2,326.62 / $4,323.64	Facility		$1,678.64	$2,326.62	$4,323.64
United Facility/Professional Professional Modifier Low / Median / High Price $639.10 / $837.46 / $1,744.70	Professional		$639.10	$837.46	$1,744.70