Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,090.30 / $9,772.37	Facility		$1,023.29	$3,090.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $3,090.30	Professional		$1,479.11	$1,819.70	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $16,982.44 / $33,113.11	Facility		$6,309.57	$16,982.44	$33,113.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $2,511.89	Professional		$1,778.28	$2,137.96	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $3,467.37	Professional		$1,584.89	$2,290.87	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $8,511.38	Professional		$1,445.44	$2,454.71	$8,511.38
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 $1,621.81 / $1,862.09 / $2,089.30	Professional		$1,621.81	$1,862.09	$2,089.30
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 $1,513.56 / $2,137.96 / $3,388.44	Professional		$1,513.56	$2,137.96	$3,388.44