Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,656.80 / $5,184.00 / $8,456.40	Facility		$2,656.80	$5,184.00	$8,456.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,494.80 / $2,656.80 / $3,078.00	Professional		$2,494.80	$2,656.80	$3,078.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,790.80 / $4,536.00 / $5,734.80	Facility		$3,790.80	$4,536.00	$5,734.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,106.70 / $7,093.40 / $14,916.03	Facility		$4,106.70	$7,093.40	$14,916.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,888.00 / $3,946.15 / $4,727.93	Professional		$3,888.00	$3,946.15	$4,727.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $4,536.00 / $6,804.00	Professional		$3,240.00	$4,536.00	$6,804.00
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 $4,406.39 / $4,406.39 / $4,860.00	Professional		$4,406.39	$4,406.39	$4,860.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,944.00 / $3,240.00	Professional		$1,360.80	$1,944.00	$3,240.00