Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,168.69 / $8,511.38	Facility		$1,148.15	$4,168.69	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $5,623.41	Professional		$2,187.76	$2,691.53	$5,623.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $25,703.96 / $48,977.88	Facility		$9,549.93	$25,703.96	$48,977.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,235.94 / $4,466.84	Professional		$2,691.53	$3,235.94	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,388.44 / $4,570.88	Professional		$2,089.30	$3,388.44	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,467.37 / $10,000.00	Professional		$1,905.46	$3,467.37	$10,000.00
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 $2,398.83 / $2,818.38 / $3,162.28	Professional		$2,398.83	$2,818.38	$3,162.28
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 $2,089.30 / $3,019.95 / $5,128.61	Professional		$2,089.30	$3,019.95	$5,128.61