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 $1,513.56 / $1,949.84 / $4,365.16	Professional		$1,513.56	$1,949.84	$4,365.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,623.41 / $39,810.72	Facility		$4,168.69	$5,623.41	$39,810.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,019.95 / $3,630.78	Professional		$1,949.84	$3,019.95	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $3,548.13	Professional		$1,445.44	$2,290.87	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $6,918.31	Professional		$1,659.59	$2,951.21	$6,918.31
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 $2,041.74 / $2,238.72 / $2,511.89	Professional		$2,041.74	$2,238.72	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,862.09	Professional		$32.36	$33.11	$1,862.09
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 $1,288.25 / $1,995.26 / $3,715.35	Professional		$1,288.25	$1,995.26	$3,715.35