Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,355.21 / $8,463.85 / $13,636.20	Facility		$5,355.21	$8,463.85	$13,636.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,435.17 / $4,284.17 / $8,447.14	Professional		$3,435.17	$4,284.17	$8,447.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,112.78 / $7,314.44 / $9,247.54	Facility		$6,112.78	$7,314.44	$9,247.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,224.60 / $5,224.60 / $7,941.39	Professional		$5,224.60	$5,224.60	$7,941.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,628.89 / $12,497.24 / $24,051.48	Facility		$6,628.89	$12,497.24	$24,051.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,269.52 / $6,364.01 / $7,624.80	Professional		$6,269.52	$6,364.01	$7,624.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,224.60 / $7,314.44 / $10,971.66	Professional		$5,224.60	$7,314.44	$10,971.66
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 $6,791.98 / $6,791.98 / $6,791.98	Professional		$6,791.98	$6,791.98	$6,791.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $7,680.16	Professional		$30.00	$30.00	$7,680.16
United Facility/Professional Facility Modifier Low / Median / High Price $5,224.60 / $5,485.83 / $12,904.76	Facility		$5,224.60	$5,485.83	$12,904.76
United Facility/Professional Professional Modifier Low / Median / High Price $2,194.33 / $3,134.76 / $5,224.60	Professional		$2,194.33	$3,134.76	$5,224.60