Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,995.26 / $5,623.41	Facility		$371.54	$1,995.26	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $1,412.54 / $2,951.21	Professional		$177.83	$1,412.54	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,818.38 / $5,370.32	Facility		$1,047.13	$2,818.38	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $380.19 / $3,235.94	Professional		$218.78	$380.19	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $512.86 / $3,162.28	Professional		$208.93	$512.86	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $2,454.71 / $4,897.79	Professional		$234.42	$2,454.71	$4,897.79
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 $204.17 / $223.87 / $2,290.87	Professional		$204.17	$223.87	$2,290.87
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 $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $1,548.82 / $3,311.31	Professional		$208.93	$1,548.82	$3,311.31