Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,187.76 / $7,762.47	Facility		$1,071.52	$2,187.76	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $2,137.96	Professional		$954.99	$1,096.48	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,466.84 / $21,379.62	Facility		$3,548.13	$4,466.84	$21,379.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,187.76	Professional		$1,288.25	$1,778.28	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,344.23	Professional		$1,000.00	$1,548.82	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $4,677.35	Professional		$1,047.13	$1,778.28	$4,677.35
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 $1,202.26 / $1,348.96 / $1,513.56	Professional		$1,202.26	$1,348.96	$1,513.56
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 $891.25 / $2,398.83 / $5,128.61	Facility		$891.25	$2,398.83	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,344.23	Professional		$1,096.48	$1,412.54	$2,344.23