Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $8,511.38	Facility		$1,148.15	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,754.23	Professional		$1,047.13	$1,348.96	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $16,982.44 / $33,113.11	Facility		$6,309.57	$16,982.44	$33,113.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $2,754.23	Professional		$1,122.02	$1,905.46	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $6,309.57	Professional		$1,258.93	$2,089.30	$6,309.57
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 $1,380.38 / $1,659.59 / $1,905.46	Professional		$1,380.38	$1,659.59	$1,905.46
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 $707.95 / $2,137.96 / $4,570.88	Facility		$707.95	$2,137.96	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,884.03	Professional		$1,258.93	$1,659.59	$2,884.03