Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,073.80 / $11,220.18	Facility		$1,023.29	$4,073.80	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $2,344.23	Professional		$588.84	$831.76	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,471.29 / $15,135.61	Facility		$7,413.10	$10,471.29	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,380.38	Professional		$831.76	$1,148.15	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,412.54	Professional		$645.65	$954.99	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,174.90 / $3,890.45	Professional		$724.44	$1,174.90	$3,890.45
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 $794.33 / $870.96 / $954.99	Professional		$794.33	$870.96	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $724.44	Professional		$32.36	$33.11	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $9,772.37	Facility		$1,698.24	$5,495.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,412.54	Professional		$616.60	$812.83	$1,412.54