Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.77 / $2,551.00 / $23,297.20	Facility		$1,479.77	$2,551.00	$23,297.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,115.23 / $15,181.10 / $25,072.70	Professional		$1,115.23	$15,181.10	$25,072.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,550.83 / $20,729.65 / $30,511.05	Facility		$9,550.83	$20,729.65	$30,511.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $914.64 / $3,717.46 / $23,010.47	Professional		$914.64	$3,717.46	$23,010.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.53 / $1,475.10 / $24,846.57	Professional		$1,114.53	$1,475.10	$24,846.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $937.77 / $14,621.66 / $26,140.06	Professional		$937.77	$14,621.66	$26,140.06
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 $822.72 / $937.77 / $14,198.11	Professional		$822.72	$937.77	$14,198.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $16,054.78	Professional		$32.34	$32.34	$16,054.78
United Facility/Professional Facility Modifier Low / Median / High Price $6,666.00 / $9,294.00 / $9,867.00	Facility		$6,666.00	$9,294.00	$9,867.00
United Facility/Professional Professional Modifier Low / Median / High Price $13,752.11 / $19,883.91 / $34,829.01	Professional		$13,752.11	$19,883.91	$34,829.01