Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,090.30 / $9,772.37	Facility		$954.99	$3,090.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,949.84	Professional		$758.58	$954.99	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $12,022.64 / $23,442.29	Facility		$4,466.84	$12,022.64	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,570.40	Professional		$1,348.96	$1,348.96	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,348.96 / $1,949.84	Professional		$812.83	$1,348.96	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $3,630.78	Professional		$891.25	$1,479.11	$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 $977.24 / $1,174.90 / $1,348.96	Professional		$977.24	$1,174.90	$1,348.96
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $2,041.74	Professional		$891.25	$1,202.26	$2,041.74