Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,766.88 / $6,027.00 / $9,591.75	Facility		$3,766.88	$6,027.00	$9,591.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,416.31 / $2,940.00 / $6,725.25	Professional		$2,416.31	$2,940.00	$6,725.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,299.75 / $5,145.00 / $6,504.75	Facility		$4,299.75	$5,145.00	$6,504.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $3,675.00 / $5,586.00	Professional		$3,675.00	$3,675.00	$5,586.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,662.57 / $8,790.60 / $16,917.34	Facility		$4,662.57	$8,790.60	$16,917.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,410.00 / $4,476.30 / $5,363.11	Professional		$4,410.00	$4,476.30	$5,363.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $5,145.00 / $7,717.50	Professional		$3,675.00	$5,145.00	$7,717.50
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 $4,777.50 / $4,777.50 / $4,777.50	Professional		$4,777.50	$4,777.50	$4,777.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,998.00 / $4,998.00 / $5,512.50	Professional		$4,998.00	$4,998.00	$5,512.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $2,205.00 / $3,675.00	Professional		$1,543.50	$2,205.00	$3,675.00