Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,394.07 / $4,788.14 / $8,020.13	Facility		$2,394.07	$4,788.14	$8,020.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,248.09 / $2,394.07 / $2,800.00	Professional		$2,248.09	$2,394.07	$2,800.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,095.00 / $4,900.00 / $6,195.00	Facility		$4,095.00	$4,900.00	$6,195.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $5,320.00	Professional		$3,500.00	$3,500.00	$5,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,820.72 / $8,372.00 / $17,712.18	Facility		$4,820.72	$8,372.00	$17,712.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,263.10 / $5,107.68	Professional		$4,200.00	$4,263.10	$5,107.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $4,900.00 / $7,000.00	Professional		$3,500.00	$4,900.00	$7,000.00
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 $4,550.00 / $4,550.00 / $4,550.00	Professional		$4,550.00	$4,550.00	$4,550.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,760.00 / $4,760.00 / $5,250.00	Professional		$4,760.00	$4,760.00	$5,250.00
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