Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,290.87 / $7,762.47	Facility		$831.76	$2,290.87	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,737.80	Professional		$630.96	$812.83	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,370.32 / $13,803.84	Facility		$4,466.84	$5,370.32	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,513.56	Professional		$891.25	$1,258.93	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,659.59	Professional		$660.69	$1,047.13	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $3,019.95	Professional		$794.33	$1,258.93	$3,019.95
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 $870.96 / $933.25 / $1,230.27	Professional		$870.96	$933.25	$1,230.27
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 $1,862.09 / $4,365.16 / $9,332.54	Facility		$1,862.09	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,698.24	Professional		$707.95	$977.24	$1,698.24