Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,715.35 / $9,772.37	Facility		$1,258.93	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,570.40	Professional		$1,122.02	$1,412.54	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $10,715.19 / $25,703.96	Facility		$6,456.54	$10,715.19	$25,703.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,570.40	Professional		$1,621.81	$2,187.76	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $2,818.38	Professional		$1,202.26	$1,905.46	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $5,754.40	Professional		$1,288.25	$2,238.72	$5,754.40
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 $1,513.56 / $1,659.59 / $1,819.70	Professional		$1,513.56	$1,659.59	$1,819.70
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 / $6,165.95 / $12,302.69	Facility		$2,089.30	$6,165.95	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,884.03	Professional		$1,348.96	$1,737.80	$2,884.03