Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,090.30 / $8,511.38	Facility		$933.25	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,548.82	Professional		$724.44	$831.76	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $18,620.87	Facility		$4,365.16	$5,248.07	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $1,659.59	Professional		$812.83	$1,288.25	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,621.81	Professional		$707.95	$1,122.02	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $3,890.45	Professional		$794.33	$1,288.25	$3,890.45
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 $933.25 / $977.24 / $1,071.52	Professional		$933.25	$977.24	$1,071.52
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 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,698.24	Professional		$794.33	$1,047.13	$1,698.24