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 / $8,709.64	Facility		$1,148.15	$4,466.84	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $5,623.41	Professional		$1,995.26	$2,754.23	$5,623.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $34,673.69 / $66,069.34	Facility		$12,882.50	$34,673.69	$66,069.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $5,128.61	Professional		$2,137.96	$3,548.13	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $8,912.51	Professional		$2,570.40	$4,365.16	$8,912.51
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 $2,691.53 / $3,311.31 / $3,801.89	Professional		$2,691.53	$3,311.31	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $575.44	Professional		$32.36	$32.36	$575.44
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 $2,238.72 / $3,090.30 / $5,370.32	Professional		$2,238.72	$3,090.30	$5,370.32