Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,401.84 / $1,427.45 / $1,827.00	Facility		$1,401.84	$1,427.45	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,498.82	Professional		$1,427.45	$1,427.45	$1,498.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,570.28 / $1,570.28 / $1,570.28	Professional		$1,570.28	$1,570.28	$1,570.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Facility		$1,427.45	$1,427.45	$1,427.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,683.31	Professional		$1,427.45	$1,427.45	$1,683.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.33 / $1,770.04 / $7,241.05	Professional		$1,213.33	$1,770.04	$7,241.05
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 $1,855.69 / $1,855.69 / $1,855.69	Professional		$1,855.69	$1,855.69	$1,855.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,886.44 / $1,941.93 / $2,080.64	Professional		$1,886.44	$1,941.93	$2,080.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,692.25 / $2,288.69 / $2,288.69	Facility		$1,692.25	$2,288.69	$2,288.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,564.97	Professional		$1,427.45	$1,427.45	$1,564.97