Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,394.07 / $4,525.38 / $7,620.16	Facility		$2,394.07	$4,525.38	$7,620.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,248.09 / $2,394.07 / $2,773.62	Professional		$2,248.09	$2,394.07	$2,773.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,415.93 / $4,087.44 / $5,167.68	Facility		$3,415.93	$4,087.44	$5,167.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $4,437.79	Professional		$2,919.60	$2,919.60	$4,437.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,704.13 / $6,983.68 / $13,440.36	Facility		$3,704.13	$6,983.68	$13,440.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,503.52 / $3,556.09 / $4,260.59	Professional		$3,503.52	$3,556.09	$4,260.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $4,087.44 / $6,131.16	Professional		$2,919.60	$4,087.44	$6,131.16
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 $3,795.48 / $3,795.48 / $3,795.48	Professional		$3,795.48	$3,795.48	$3,795.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,970.66	Professional		$30.00	$30.00	$3,970.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,751.76 / $2,919.60	Professional		$1,226.23	$1,751.76	$2,919.60