Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,388.44 / $9,772.37	Facility		$794.33	$3,388.44	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $870.96	Professional		$380.19	$446.68	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $8,511.38 / $10,471.29	Facility		$3,890.45	$8,511.38	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,548.82	Facility		$1,230.27	$1,230.27	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $933.25	Professional		$380.19	$562.34	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $2,398.83	Professional		$426.58	$741.31	$2,398.83
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 $478.63 / $501.19 / $549.54	Professional		$478.63	$501.19	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $489.78	Professional		$32.36	$33.11	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,011.87 / $9,772.37	Facility		$1,584.89	$5,011.87	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $851.14	Professional		$389.05	$524.81	$851.14