Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,090.30 / $8,511.38	Facility		$1,096.48	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $2,290.87	Professional		$1,023.29	$1,202.26	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $17,378.01 / $33,113.11	Facility		$6,456.54	$17,378.01	$33,113.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,290.87	Professional		$1,348.96	$2,137.96	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,290.87	Professional		$1,000.00	$1,548.82	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $4,786.30	Professional		$1,122.02	$1,819.70	$4,786.30
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 $1,288.25 / $1,380.38 / $1,513.56	Professional		$1,288.25	$1,380.38	$1,513.56
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 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,398.83	Professional		$1,122.02	$1,479.11	$2,398.83