Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $8,511.38	Facility		$1,148.15	$3,235.94	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $3,801.89	Professional		$1,412.54	$1,819.70	$3,801.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $22,908.68 / $44,668.36	Facility		$8,511.38	$22,908.68	$44,668.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $4,897.79	Professional		$2,570.40	$2,570.40	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $3,715.35	Professional		$1,548.82	$2,570.40	$3,715.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,818.38 / $9,772.37	Professional		$1,698.24	$2,818.38	$9,772.37
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 $1,819.70 / $2,238.72 / $2,570.40	Professional		$1,819.70	$2,238.72	$2,570.40
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 $1,698.24 / $2,290.87 / $3,890.45	Professional		$1,698.24	$2,290.87	$3,890.45