Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.20 / $1,195.20 / $1,568.70	Facility		$1,195.20	$1,195.20	$1,568.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,195.20 / $1,269.90	Professional		$1,195.20	$1,195.20	$1,269.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $943.05 / $3,610.65 / $13,147.29	Facility		$943.05	$3,610.65	$13,147.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.36 / $801.36 / $801.36	Professional		$801.36	$801.36	$801.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $2,206.00 / $2,786.00	Professional		$345.40	$2,206.00	$2,786.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,320.95	Professional		$1,245.00	$1,245.00	$1,320.95