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 $1,479.11 / $1,862.09 / $3,235.94	Professional		$1,479.11	$1,862.09	$3,235.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $17,782.79 / $33,884.42	Facility		$6,606.93	$17,782.79	$33,884.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $3,235.94	Professional		$1,659.59	$2,344.23	$3,235.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $7,244.36	Professional		$1,513.56	$2,454.71	$7,244.36
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 / $1,949.84 / $2,187.76	Professional		$1,621.81	$1,949.84	$2,187.76
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 $1,584.89 / $2,290.87 / $3,548.13	Professional		$1,584.89	$2,290.87	$3,548.13