Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.77 / $368.46 / $460.58	Facility		$294.77	$368.46	$460.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.46 / $368.46 / $379.59	Professional		$368.46	$368.46	$379.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,164.08 / $10,933.14 / $14,104.72	Facility		$9,164.08	$10,933.14	$14,104.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,467.10 / $16,206.02 / $67,622.14	Facility		$9,467.10	$16,206.02	$67,622.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,253.83 / $1,253.83 / $1,253.83	Professional		$1,253.83	$1,253.83	$1,253.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $221.62 / $316.61 / $503.57	Professional		$221.62	$316.61	$503.57
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 $273.47 / $274.39 / $290.95	Professional		$273.47	$274.39	$290.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $11,460.44 / $17,929.73 / $26,662.15	Facility		$11,460.44	$17,929.73	$26,662.15