Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.44 / $1,842.00 / $5,549.00	Facility		$951.44	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.44 / $972.04 / $1,823.70	Professional		$951.44	$972.04	$1,823.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,958.64 / $14,884.80 / $29,806.81	Facility		$6,958.64	$14,884.80	$29,806.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.38 / $1,848.53 / $1,991.40	Professional		$1,149.38	$1,848.53	$1,991.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,311.60 / $1,311.60 / $1,930.98	Professional		$1,311.60	$1,311.60	$1,930.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.63 / $1,567.97 / $3,906.30	Professional		$1,008.63	$1,567.97	$3,906.30
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 $1,118.07 / $1,192.02 / $1,295.53	Professional		$1,118.07	$1,192.02	$1,295.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,494.84	Professional		$32.34	$32.34	$1,494.84
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,009.62 / $1,304.71 / $2,122.66	Professional		$1,009.62	$1,304.71	$2,122.66