Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,862.09 / $7,762.47	Facility		$707.95	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $912.01	Professional		$346.74	$524.81	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,467.37 / $10,000.00	Facility		$2,884.03	$3,467.37	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $794.33	Professional		$512.86	$741.31	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $870.96	Professional		$426.58	$616.60	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $1,479.11	Professional		$371.54	$676.08	$1,479.11
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 $549.54 / $549.54 / $602.56	Professional		$549.54	$549.54	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,023.29 / $3,388.44	Facility		$151.36	$1,023.29	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $851.14	Professional		$380.19	$512.86	$851.14