Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $14,125.38	Facility		$1,023.29	$4,265.80	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $2,187.76 / $4,677.35	Professional		$162.18	$2,187.76	$4,677.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,413.10 / $10,232.93	Facility		$1,949.84	$7,413.10	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $831.76 / $4,073.80	Professional		$204.17	$831.76	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $4,265.80	Professional		$194.98	$407.38	$4,265.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $3,311.31 / $6,760.83	Professional		$218.78	$3,311.31	$6,760.83
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 $199.53 / $213.80 / $3,090.30	Professional		$199.53	$213.80	$3,090.30
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 $2,041.74 / $5,370.32 / $12,302.69	Facility		$2,041.74	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $2,511.89 / $5,495.41	Professional		$190.55	$2,511.89	$5,495.41