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 $436.52 / $524.81 / $1,047.13	Professional		$436.52	$524.81	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $10,964.78	Facility		$3,890.45	$7,762.47	$10,964.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,047.13	Professional		$426.58	$660.69	$1,047.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $2,089.30	Professional		$467.74	$758.58	$2,089.30
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 $537.03 / $588.84 / $630.96	Professional		$537.03	$588.84	$630.96
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 $478.63 / $630.96 / $1,023.29	Professional		$478.63	$630.96	$1,023.29