Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,890.45 / $8,511.38	Facility		$1,148.15	$3,890.45	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $4,466.84	Professional		$1,698.24	$2,187.76	$4,466.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $28,183.83 / $53,703.18	Facility		$10,471.29	$28,183.83	$53,703.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $5,370.32	Professional		$2,754.23	$3,548.13	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $4,466.84	Professional		$1,905.46	$3,090.30	$4,466.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,388.44 / $8,128.31	Professional		$2,041.74	$3,388.44	$8,128.31
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 $2,187.76 / $2,691.53 / $3,090.30	Professional		$2,187.76	$2,691.53	$3,090.30
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 $2,089.30 / $2,818.38 / $4,677.35	Professional		$2,089.30	$2,818.38	$4,677.35