Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $8,511.38	Facility		$1,148.15	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,511.89	Professional		$1,071.52	$1,380.38	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $15,848.93 / $30,902.95	Facility		$5,888.44	$15,848.93	$30,902.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $2,238.72	Professional		$1,445.44	$2,089.30	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $2,511.89	Professional		$1,148.15	$1,737.80	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $5,888.44	Professional		$1,202.26	$1,995.26	$5,888.44
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 $1,412.54 / $1,513.56 / $1,659.59	Professional		$1,412.54	$1,513.56	$1,659.59
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,570.40	Professional		$1,202.26	$1,548.82	$2,570.40