Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,995.26 / $7,762.47	Facility		$741.31	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $1,122.02	Professional		$501.19	$602.56	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,762.47 / $14,791.08	Facility		$2,884.03	$7,762.47	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,096.48	Professional		$467.74	$741.31	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $2,398.83	Professional		$537.03	$851.14	$2,398.83
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 $630.96 / $660.69 / $724.44	Professional		$630.96	$660.69	$724.44
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 $323.59 / $1,380.38 / $3,801.89	Facility		$323.59	$1,380.38	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,148.15	Professional		$512.86	$676.08	$1,148.15