Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $8,511.38	Facility		$1,148.15	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $3,235.94	Professional		$1,445.44	$1,698.24	$3,235.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $20,417.38 / $38,904.51	Facility		$7,585.78	$20,417.38	$38,904.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $3,467.37	Professional		$1,380.38	$2,290.87	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $7,244.36	Professional		$1,621.81	$2,630.27	$7,244.36
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 $1,905.46 / $2,041.74 / $2,238.72	Professional		$1,905.46	$2,041.74	$2,238.72
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $3,467.37	Professional		$1,621.81	$2,089.30	$3,467.37