Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,884.03 / $8,511.38	Facility		$831.76	$2,884.03	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $616.60	Professional		$316.23	$512.86	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $10,471.29 / $12,589.25	Facility		$9,332.54	$10,471.29	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $691.83	Professional		$616.60	$616.60	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $346.74	Professional		$120.23	$199.53	$346.74
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 $1,412.54 / $4,265.80 / $7,585.78	Facility		$1,412.54	$4,265.80	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $1,122.02	Professional		$489.78	$676.08	$1,122.02