Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,981.07 / $8,511.38	Facility		$1,148.15	$3,981.07	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $4,168.69	Professional		$1,949.84	$2,290.87	$4,168.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $33,113.11 / $63,095.73	Facility		$12,302.69	$33,113.11	$63,095.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $4,365.16	Professional		$1,862.09	$3,019.95	$4,365.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,467.37 / $10,471.29	Professional		$2,137.96	$3,467.37	$10,471.29
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 $2,454.71 / $2,630.27 / $2,884.03	Professional		$2,454.71	$2,630.27	$2,884.03
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 $2,089.30 / $2,818.38 / $4,570.88	Professional		$2,089.30	$2,818.38	$4,570.88