Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,548.13 / $8,912.51	Facility		$1,202.26	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $3,801.89	Professional		$1,621.81	$2,041.74	$3,801.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $39,810.72	Facility		$7,585.78	$9,120.11	$39,810.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $3,890.45	Professional		$1,737.80	$2,630.27	$3,890.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $8,709.64	Professional		$1,905.46	$3,019.95	$8,709.64
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 $2,137.96 / $2,290.87 / $2,511.89	Professional		$2,137.96	$2,290.87	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,778.28	Professional		$32.36	$33.11	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $13,803.84	Facility		$1,737.80	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $3,801.89	Professional		$1,698.24	$2,290.87	$3,801.89