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 $1,584.89 / $1,995.26 / $3,548.13	Professional		$1,584.89	$1,995.26	$3,548.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $18,620.87 / $36,307.81	Facility		$6,918.31	$18,620.87	$36,307.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $3,467.37	Professional		$1,737.80	$2,454.71	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $7,585.78	Professional		$1,584.89	$2,630.27	$7,585.78
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 $1,737.80 / $2,089.30 / $2,344.23	Professional		$1,737.80	$2,089.30	$2,344.23
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 $1,659.59 / $2,454.71 / $3,715.35	Professional		$1,659.59	$2,454.71	$3,715.35