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 / $851.14 / $1,479.11	Professional		$724.44	$851.14	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $16,595.87	Facility		$4,073.80	$5,128.61	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,548.82	Professional		$660.69	$1,071.52	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $3,311.31	Professional		$758.58	$1,230.27	$3,311.31
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 $891.25 / $933.25 / $1,023.29	Professional		$891.25	$933.25	$1,023.29
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 $741.31 / $977.24 / $1,621.81	Professional		$741.31	$977.24	$1,621.81