Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $10,000.00	Facility		$1,148.15	$3,235.94	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $3,467.37	Professional		$1,621.81	$1,995.26	$3,467.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $18,620.87 / $36,307.81	Facility		$6,918.31	$18,620.87	$36,307.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $3,311.31	Professional		$1,995.26	$2,344.23	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $3,388.44	Professional		$1,737.80	$2,454.71	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $7,762.47	Professional		$1,584.89	$2,630.27	$7,762.47
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 $1,778.28 / $2,041.74 / $2,290.87	Professional		$1,778.28	$2,041.74	$2,290.87
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 $1,698.24 / $2,344.23 / $3,801.89	Professional		$1,698.24	$2,344.23	$3,801.89