Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,981.07 / $15,135.61	Facility		$851.14	$3,981.07	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,479.11 / $3,981.07	Professional		$446.68	$1,479.11	$3,981.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $14,791.08 / $19,952.62	Facility		$6,309.57	$14,791.08	$19,952.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $2,187.76 / $4,570.88	Professional		$537.03	$2,187.76	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,071.52 / $3,890.45	Professional		$512.86	$1,071.52	$3,890.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $3,019.95 / $6,025.60	Professional		$512.86	$3,019.95	$6,025.60
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 $501.19 / $549.54 / $2,818.38	Professional		$501.19	$549.54	$2,818.38
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 $2,570.40 / $9,772.37 / $25,703.96	Facility		$2,570.40	$9,772.37	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $2,089.30 / $4,365.16	Professional		$512.86	$2,089.30	$4,365.16