Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,621.81 / $5,623.41	Facility		$436.52	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $831.76	Professional		$346.74	$436.52	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $9,772.37	Facility		$3,890.45	$7,762.47	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $851.14	Professional		$380.19	$575.44	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $660.69 / $1,737.80	Professional		$407.38	$660.69	$1,737.80
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 $407.38 / $446.68 / $588.84	Professional		$407.38	$446.68	$588.84
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 $1,288.25 / $4,265.80 / $7,585.78	Facility		$1,288.25	$4,265.80	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $912.01	Professional		$380.19	$549.54	$912.01