Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $7,762.47	Facility		$1,023.29	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,659.59	Professional		$741.31	$891.25	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,897.79 / $15,488.17	Facility		$3,890.45	$4,897.79	$15,488.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,174.90 / $1,778.28	Professional		$707.95	$1,174.90	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,348.96 / $3,715.35	Professional		$831.76	$1,348.96	$3,715.35
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 $977.24 / $1,023.29 / $1,122.02	Professional		$977.24	$1,023.29	$1,122.02
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 $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,737.80	Professional		$812.83	$1,047.13	$1,737.80