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 $1,202.26 / $1,584.89 / $3,235.94	Professional		$1,202.26	$1,584.89	$3,235.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $19,952.62 / $38,018.94	Facility		$7,413.10	$19,952.62	$38,018.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,949.84 / $2,818.38	Professional		$588.84	$1,949.84	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $3,019.95	Professional		$1,288.25	$2,089.30	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,570.40 / $5,888.44	Professional		$1,584.89	$2,570.40	$5,888.44
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 $1,584.89 / $1,905.46 / $2,187.76	Professional		$1,584.89	$1,905.46	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $338.84	Professional		$32.36	$32.36	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,951.21 / $7,413.10	Facility		$616.60	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,019.95	Professional		$1,318.26	$1,819.70	$3,019.95