Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.74 / $1,158.74 / $1,158.74	Facility		$1,158.74	$1,158.74	$1,158.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.16 / $1,158.74 / $1,850.68	Professional		$861.16	$1,158.74	$1,850.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.81 / $4,731.71 / $20,143.84	Facility		$2,796.81	$4,731.71	$20,143.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,779.28 / $1,779.28 / $2,135.14	Professional		$1,779.28	$1,779.28	$2,135.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $2,608.30	Facility		$1,132.82	$1,132.82	$2,608.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $826.96 / $2,741.39	Professional		$826.96	$826.96	$2,741.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,983.92 / $2,425.08 / $3,073.54	Professional		$1,983.92	$2,425.08	$3,073.54
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 $3,043.51 / $3,043.51 / $3,043.51	Professional		$3,043.51	$3,043.51	$3,043.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,235.18 / $1,764.55 / $1,852.77	Professional		$1,235.18	$1,764.55	$1,852.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,052.80 / $1,052.80	Facility		$1,052.80	$1,052.80	$1,052.80
United Facility/Professional Professional Modifier Low / Median / High Price $778.65 / $1,167.98 / $2,005.03	Professional		$778.65	$1,167.98	$2,005.03