Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,344.23 / $5,888.44	Facility		$1,071.52	$2,344.23	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,691.53	Professional		$1,023.29	$1,258.93	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,623.41 / $26,915.35	Facility		$4,168.69	$5,623.41	$26,915.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,570.40	Professional		$1,122.02	$1,698.24	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $5,248.07	Professional		$1,318.26	$2,187.76	$5,248.07
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 / $1,621.81 / $1,862.09	Professional		$1,348.96	$1,621.81	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,513.56	Professional		$32.36	$33.11	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,570.40	Professional		$1,071.52	$1,445.44	$2,570.40