Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,466.84 / $14,125.38	Facility		$1,148.15	$4,466.84	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $2,137.96	Professional		$954.99	$1,174.90	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $20,417.38	Facility		$5,011.87	$8,511.38	$20,417.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $2,290.87	Professional		$954.99	$1,548.82	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $4,786.30	Professional		$1,096.48	$1,737.80	$4,786.30
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 $1,288.25 / $1,348.96 / $1,479.11	Professional		$1,288.25	$1,348.96	$1,479.11
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 $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,290.87	Professional		$1,047.13	$1,380.38	$2,290.87