Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,137.96 / $7,762.47	Facility		$660.69	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,995.26	Professional		$630.96	$912.01	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $12,882.50	Facility		$2,630.27	$3,235.94	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,479.11	Professional		$831.76	$1,023.29	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,659.59	Professional		$724.44	$1,023.29	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $2,691.53	Professional		$758.58	$1,230.27	$2,691.53
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 $851.14 / $891.25 / $1,174.90	Professional		$851.14	$891.25	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $4,897.79	Facility		$1,174.90	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,621.81	Professional		$691.83	$977.24	$1,621.81