Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,466.84 / $8,511.38	Facility		$1,148.15	$4,466.84	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $5,495.41	Professional		$2,344.23	$2,884.03	$5,495.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $26,915.35 / $52,480.75	Facility		$10,000.00	$26,915.35	$52,480.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $3,981.07	Professional		$2,884.03	$3,388.44	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $4,897.79	Professional		$2,511.89	$3,548.13	$4,897.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $17,782.79	Professional		$2,290.87	$3,801.89	$17,782.79
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 $2,570.40 / $2,951.21 / $3,311.31	Professional		$2,570.40	$2,951.21	$3,311.31
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 $2,398.83 / $3,311.31 / $5,370.32	Professional		$2,398.83	$3,311.31	$5,370.32