Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $8,511.38	Facility		$1,023.29	$2,884.03	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $2,137.96	Professional		$707.95	$870.96	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $15,848.93	Facility		$3,890.45	$7,762.47	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,348.96	Professional		$891.25	$891.25	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,479.11	Professional		$660.69	$1,023.29	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,174.90 / $3,162.28	Professional		$724.44	$1,174.90	$3,162.28
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 $851.14 / $912.01 / $977.24	Professional		$851.14	$912.01	$977.24
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 $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,548.82	Professional		$707.95	$933.25	$1,548.82