Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,090.30 / $8,511.38	Facility		$851.14	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,318.26	Professional		$426.58	$616.60	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $11,748.98	Facility		$2,290.87	$6,165.95	$11,748.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $912.01	Professional		$588.84	$776.25	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,412.54	Professional		$524.81	$758.58	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $3,467.37	Professional		$457.09	$812.83	$3,467.37
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 $537.03 / $616.60 / $660.69	Professional		$537.03	$616.60	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
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 $501.19 / $776.25 / $1,148.15	Professional		$501.19	$776.25	$1,148.15