Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,466.84 / $8,511.38	Facility		$1,148.15	$4,466.84	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $5,370.32	Professional		$1,995.26	$2,570.40	$5,370.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $32,359.37 / $63,095.73	Facility		$12,022.64	$32,359.37	$63,095.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,168.69 / $4,570.88	Professional		$3,235.94	$4,168.69	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,467.37 / $4,897.79	Professional		$1,995.26	$3,467.37	$4,897.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,168.69 / $9,332.54	Professional		$2,570.40	$4,168.69	$9,332.54
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 $2,570.40 / $3,090.30 / $3,630.78	Professional		$2,570.40	$3,090.30	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $549.54	Professional		$32.36	$32.36	$549.54
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 $2,089.30 / $2,884.03 / $5,011.87	Professional		$2,089.30	$2,884.03	$5,011.87