Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,090.30 / $7,762.47	Facility		$1,202.26	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $3,311.31	Professional		$1,445.44	$1,862.09	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $22,387.21 / $43,651.58	Facility		$8,317.64	$22,387.21	$43,651.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $3,630.78	Professional		$1,584.89	$2,511.89	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,818.38 / $6,918.31	Professional		$1,778.28	$2,818.38	$6,918.31
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 $2,041.74 / $2,187.76 / $2,454.71	Professional		$2,041.74	$2,187.76	$2,454.71
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 $1,698.24 / $4,265.80 / $8,128.31	Facility		$1,698.24	$4,265.80	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $3,715.35	Professional		$1,698.24	$2,187.76	$3,715.35