Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,235.94 / $9,772.37	Facility		$630.96	$3,235.94	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $302.00	Professional		$173.78	$245.47	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $6,309.57 / $7,585.78	Facility		$5,623.41	$6,309.57	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $602.56	Professional		$257.04	$257.04	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $691.83	Professional		$120.23	$199.53	$691.83
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,511.89	Professional		$1,513.56	$1,513.56	$2,511.89
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 $263.03 / $380.19 / $588.84	Professional		$263.03	$380.19	$588.84