Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,548.13 / $8,912.51	Facility		$1,096.48	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $2,238.72	Professional		$954.99	$1,096.48	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,495.41 / $21,877.62	Facility		$4,570.88	$5,495.41	$21,877.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,290.87	Professional		$1,000.00	$1,548.82	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $5,128.61	Professional		$1,122.02	$1,778.28	$5,128.61
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 $1,348.96 / $1,445.44 / $1,621.81	Professional		$1,348.96	$1,445.44	$1,621.81
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 $1,023.29 / $1,380.38 / $2,454.71	Professional		$1,023.29	$1,380.38	$2,454.71