Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,187.76 / $5,888.44	Facility		$831.76	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $1,174.90	Professional		$407.38	$524.81	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,471.29 / $12,589.25	Facility		$5,370.32	$10,471.29	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,000.00	Professional		$602.56	$831.76	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $977.24	Professional		$457.09	$660.69	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $1,995.26	Professional		$524.81	$831.76	$1,995.26
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 $602.56 / $630.96 / $691.83	Professional		$602.56	$630.96	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,365.16 / $7,585.78	Facility		$1,513.56	$4,365.16	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $954.99	Professional		$416.87	$549.54	$954.99