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 $1,380.38 / $1,659.59 / $2,951.21	Professional		$1,380.38	$1,659.59	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $15,488.17 / $30,199.52	Facility		$5,754.40	$15,488.17	$30,199.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $2,884.03	Professional		$1,348.96	$2,089.30	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $7,762.47	Professional		$1,318.26	$2,187.76	$7,762.47
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 $1,445.44 / $1,737.80 / $1,949.84	Professional		$1,445.44	$1,737.80	$1,949.84
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 $1,380.38 / $1,949.84 / $3,090.30	Professional		$1,380.38	$1,949.84	$3,090.30