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 / $8,912.51	Facility		$1,148.15	$4,466.84	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $5,623.41	Professional		$2,630.27	$3,235.94	$5,623.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $30,199.52 / $58,884.37	Facility		$11,220.18	$30,199.52	$58,884.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $4,466.84	Professional		$3,235.94	$3,801.89	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,981.07 / $5,495.41	Professional		$2,630.27	$3,981.07	$5,495.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $12,302.69	Professional		$2,570.40	$4,073.80	$12,302.69
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 $2,884.03 / $3,311.31 / $3,715.35	Professional		$2,884.03	$3,311.31	$3,715.35
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 $2,630.27 / $3,715.35 / $6,025.60	Professional		$2,630.27	$3,715.35	$6,025.60