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 $1,288.25 / $1,621.81 / $3,090.30	Professional		$1,288.25	$1,621.81	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $15,488.17 / $29,512.09	Facility		$5,754.40	$15,488.17	$29,512.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,238.72	Professional		$1,621.81	$1,949.84	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,818.38	Professional		$1,412.54	$2,041.74	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $6,309.57	Professional		$1,288.25	$2,137.96	$6,309.57
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 $1,412.54 / $1,698.24 / $1,905.46	Professional		$1,412.54	$1,698.24	$1,905.46
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