Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,623.41 / $10,000.00	Facility		$1,318.26	$5,623.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,884.03	Professional		$1,047.13	$1,318.26	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,760.83 / $21,379.62	Facility		$2,570.40	$6,760.83	$21,379.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,819.70	Professional		$1,318.26	$1,548.82	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,238.72	Professional		$1,148.15	$1,659.59	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $4,897.79	Professional		$1,047.13	$1,819.70	$4,897.79
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 $1,174.90 / $1,380.38 / $1,513.56	Professional		$1,174.90	$1,380.38	$1,513.56
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 $1,148.15 / $1,584.89 / $2,511.89	Professional		$1,148.15	$1,584.89	$2,511.89