Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,862.09 / $5,623.41	Facility		$741.31	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,412.54	Professional		$630.96	$812.83	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $13,489.63	Facility		$2,951.21	$3,548.13	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,288.25	Professional		$707.95	$1,096.48	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,380.38	Professional		$645.65	$954.99	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,071.52 / $3,090.30	Professional		$588.84	$1,071.52	$3,090.30
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 $758.58 / $758.58 / $954.99	Professional		$758.58	$758.58	$954.99
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 $1,174.90 / $3,548.13 / $6,165.95	Facility		$1,174.90	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,380.38	Professional		$616.60	$831.76	$1,380.38