Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $1,186.93	Facility		$1,186.93	$1,186.93	$1,186.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.56 / $1,186.93 / $1,938.01	Professional		$850.56	$1,186.93	$1,938.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,865.18 / $4,847.38 / $20,633.75	Facility		$2,865.18	$4,847.38	$20,633.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,822.56 / $1,822.56 / $1,822.56	Professional		$1,822.56	$1,822.56	$1,822.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $2,731.39	Facility		$1,551.30	$1,551.30	$2,731.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,523.71 / $2,780.25	Professional		$1,132.45	$1,523.71	$2,780.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,986.46 / $2,375.66 / $2,804.10	Professional		$1,986.46	$2,375.66	$2,804.10
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 $3,117.54 / $3,117.54 / $3,117.54	Professional		$3,117.54	$3,117.54	$3,117.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,563.66 / $2,233.80 / $2,345.48	Professional		$1,563.66	$2,233.80	$2,345.48
United Facility/Professional Professional Modifier Low / Median / High Price $858.81 / $1,196.38 / $2,053.79	Professional		$858.81	$1,196.38	$2,053.79