Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,090.30 / $8,511.38	Facility		$1,047.13	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,778.28	Professional		$870.96	$1,047.13	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $9,772.37 / $19,054.61	Facility		$3,630.78	$9,772.37	$19,054.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,445.44	Professional		$933.25	$1,230.27	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $1,819.70	Professional		$891.25	$1,318.26	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $4,073.80	Professional		$831.76	$1,380.38	$4,073.80
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 $912.01 / $1,071.52 / $1,202.26	Professional		$912.01	$1,071.52	$1,202.26
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 $870.96 / $1,318.26 / $1,949.84	Professional		$870.96	$1,318.26	$1,949.84