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 $1,096.48 / $1,380.38 / $2,398.83	Professional		$1,096.48	$1,380.38	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $12,882.50 / $25,118.86	Facility		$4,786.30	$12,882.50	$25,118.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $1,905.46	Professional		$1,380.38	$1,621.81	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $2,344.23	Professional		$1,148.15	$1,737.80	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $5,248.07	Professional		$1,096.48	$1,819.70	$5,248.07
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 $1,202.26 / $1,412.54 / $1,621.81	Professional		$1,202.26	$1,412.54	$1,621.81
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 $1,148.15 / $1,621.81 / $2,570.40	Professional		$1,148.15	$1,621.81	$2,570.40