Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,544.00 / $5,389.00	Facility		$438.00	$1,544.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.59 / $259.69 / $327.56	Professional		$172.59	$259.69	$327.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,867.49 / $9,386.25 / $12,109.10	Facility		$7,867.49	$9,386.25	$12,109.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,588.56 / $11,588.56 / $12,937.24	Facility		$11,588.56	$11,588.56	$12,937.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.66 / $350.66 / $438.17	Professional		$350.66	$350.66	$438.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $651.36	Professional		$120.00	$345.40	$651.36
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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.78 / $379.45 / $569.98	Professional		$241.78	$379.45	$569.98