Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $8,511.38	Facility		$1,148.15	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $2,290.87	Professional		$1,000.00	$1,258.93	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $12,022.64 / $22,908.68	Facility		$4,466.84	$12,022.64	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,862.09	Professional		$1,258.93	$1,513.56	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,238.72	Professional		$1,122.02	$1,584.89	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $8,709.64	Professional		$1,000.00	$1,737.80	$8,709.64
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 $1,148.15 / $1,318.26 / $1,479.11	Professional		$1,148.15	$1,318.26	$1,479.11
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 $2,570.40 / $9,772.37 / $21,877.62	Facility		$2,570.40	$9,772.37	$21,877.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,344.23	Professional		$1,071.52	$1,479.11	$2,344.23