Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,290.87 / $7,762.47	Facility		$691.83	$2,290.87	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,202.26 / $2,570.40	Professional		$398.11	$1,202.26	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,570.88 / $10,000.00	Facility		$2,511.89	$4,570.88	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,258.93 / $2,570.40	Professional		$489.78	$1,258.93	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $851.14 / $2,187.76	Professional		$446.68	$851.14	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,698.24 / $5,011.87	Professional		$446.68	$1,698.24	$5,011.87
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 $436.52 / $501.19 / $1,584.89	Professional		$436.52	$501.19	$1,584.89
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 $1,698.24 / $4,365.16 / $8,912.51	Facility		$1,698.24	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,174.90 / $2,398.83	Professional		$426.58	$1,174.90	$2,398.83