Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,128.61 / $11,220.18	Facility		$1,148.15	$5,128.61	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,888.44 / $13,182.57	Professional		$5,128.61	$5,888.44	$13,182.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $75,857.76 / $147,910.84	Facility		$28,183.83	$75,857.76	$147,910.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $9,549.93 / $11,481.54	Professional		$7,244.36	$9,549.93	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $8,709.64 / $12,882.50	Professional		$5,128.61	$8,709.64	$12,882.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $9,772.37 / $24,547.09	Professional		$5,623.41	$9,772.37	$24,547.09
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 $6,456.54 / $7,413.10 / $8,317.64	Professional		$6,456.54	$7,413.10	$8,317.64
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 / $2,951.21 / $7,413.10	Facility		$575.44	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,585.78 / $13,489.63	Professional		$5,754.40	$7,585.78	$13,489.63