Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,090.30 / $8,511.38	Facility		$912.01	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $1,258.93	Professional		$446.68	$575.44	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,918.31 / $13,182.57	Facility		$2,570.40	$6,918.31	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,096.48	Professional		$478.63	$741.31	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $2,187.76	Professional		$549.54	$912.01	$2,187.76
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 $602.56 / $676.08 / $758.58	Professional		$602.56	$676.08	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $114.82	Professional		$32.36	$32.36	$114.82
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 $457.09 / $630.96 / $1,096.48	Professional		$457.09	$630.96	$1,096.48