Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,715.35 / $9,772.37	Facility		$1,258.93	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $3,235.94	Professional		$1,230.27	$1,513.56	$3,235.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $30,902.95	Facility		$7,585.78	$9,120.11	$30,902.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,818.38	Professional		$1,659.59	$2,290.87	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $2,951.21	Professional		$1,318.26	$1,949.84	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $8,912.51	Professional		$1,479.11	$2,344.23	$8,912.51
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 $1,659.59 / $1,737.80 / $1,905.46	Professional		$1,659.59	$1,737.80	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,380.38	Professional		$32.36	$33.11	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,025.60 / $13,803.84	Facility		$1,445.44	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,951.21	Professional		$1,258.93	$1,778.28	$2,951.21