Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,995.26 / $7,762.47	Facility		$741.31	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $1,318.26	Professional		$562.34	$676.08	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $14,125.38	Facility		$3,890.45	$7,762.47	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,174.90 / $1,258.93	Professional		$676.08	$1,174.90	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,258.93	Professional		$549.54	$851.14	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $3,548.13	Professional		$616.60	$977.24	$3,548.13
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 $707.95 / $758.58 / $831.76	Professional		$707.95	$758.58	$831.76
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 $891.25 / $2,951.21 / $5,128.61	Facility		$891.25	$2,951.21	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,318.26	Professional		$616.60	$831.76	$1,318.26