Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $9,772.37	Facility		$1,023.29	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,778.28	Professional		$707.95	$891.25	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,715.19 / $20,892.96	Facility		$3,981.07	$10,715.19	$20,892.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $1,584.89	Professional		$912.01	$1,348.96	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,778.28	Professional		$758.58	$1,202.26	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,348.96 / $3,630.78	Professional		$831.76	$1,348.96	$3,630.78
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 $954.99 / $1,047.13 / $1,148.15	Professional		$954.99	$1,047.13	$1,148.15
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 / $4,265.80 / $8,128.31	Facility		$1,584.89	$4,265.80	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,778.28	Professional		$851.14	$1,071.52	$1,778.28