Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,090.30 / $8,511.38	Facility		$1,071.52	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,905.46	Professional		$812.83	$1,071.52	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $12,302.69 / $23,988.33	Facility		$4,570.88	$12,302.69	$23,988.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,202.26 / $1,659.59	Professional		$1,122.02	$1,202.26	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,995.26	Professional		$870.96	$1,348.96	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $3,981.07	Professional		$891.25	$1,513.56	$3,981.07
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 $1,023.29 / $1,148.15 / $1,288.25	Professional		$1,023.29	$1,148.15	$1,288.25
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 $912.01 / $1,202.26 / $2,041.74	Professional		$912.01	$1,202.26	$2,041.74