Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,715.35 / $9,772.37	Facility		$1,122.02	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $3,090.30	Professional		$977.24	$1,230.27	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,495.41 / $22,387.21	Facility		$4,365.16	$5,495.41	$22,387.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $2,089.30	Professional		$1,258.93	$1,905.46	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $2,089.30	Professional		$933.25	$1,445.44	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $5,888.44	Professional		$1,023.29	$1,659.59	$5,888.44
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 $1,202.26 / $1,288.25 / $1,380.38	Professional		$1,202.26	$1,288.25	$1,380.38
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 $1,584.89 / $4,365.16 / $9,332.54	Facility		$1,584.89	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,238.72	Professional		$1,023.29	$1,318.26	$2,238.72