Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,466.84 / $14,125.38	Facility		$1,318.26	$4,466.84	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,884.03	Professional		$1,122.02	$1,348.96	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $18,620.87 / $28,840.32	Facility		$14,125.38	$18,620.87	$28,840.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,691.53	Professional		$1,202.26	$1,778.28	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $5,623.41	Professional		$1,380.38	$2,187.76	$5,623.41
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 $1,513.56 / $1,659.59 / $1,819.70	Professional		$1,513.56	$1,659.59	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,380.38	Professional		$32.36	$33.11	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,943.28 / $16,982.44	Facility		$2,570.40	$7,943.28	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,691.53	Professional		$1,174.90	$1,548.82	$2,691.53