Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,090.30 / $8,511.38	Facility		$630.96	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $794.33	Professional		$302.00	$380.19	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,265.80 / $8,317.64	Facility		$1,584.89	$4,265.80	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $416.87 / $616.60	Professional		$389.05	$416.87	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $724.44	Professional		$331.13	$478.63	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $1,621.81	Professional		$346.74	$537.03	$1,621.81
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 $398.11 / $416.87 / $446.68	Professional		$398.11	$416.87	$446.68
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 $707.95 / $2,137.96 / $4,570.88	Facility		$707.95	$2,137.96	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $724.44	Professional		$338.84	$446.68	$724.44