Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $9,772.37	Facility		$1,023.29	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,778.28	Professional		$602.56	$812.83	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $16,218.10	Facility		$4,168.69	$5,128.61	$16,218.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,479.11	Professional		$891.25	$1,230.27	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,412.54	Professional		$676.08	$1,000.00	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $2,630.27	Professional		$776.25	$1,230.27	$2,630.27
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 $851.14 / $912.01 / $1,023.29	Professional		$851.14	$912.01	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $776.25	Professional		$32.36	$33.11	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,079.46 / $14,454.40	Facility		$1,778.28	$7,079.46	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,479.11	Professional		$630.96	$870.96	$1,479.11