Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $6,760.83	Facility		$3,311.31	$3,311.31	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $3,019.95 / $5,495.41	Professional		$954.99	$3,019.95	$5,495.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $11,220.18	Facility		$4,073.80	$5,011.87	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,047.13	Professional		$602.56	$831.76	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,623.41 / $7,585.78	Professional		$2,951.21	$5,623.41	$7,585.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $5,888.44	Professional		$549.54	$870.96	$5,888.44
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 $630.96 / $645.65 / $707.95	Professional		$630.96	$645.65	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,511.89	Professional		$1,513.56	$1,513.56	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,302.69	Facility		$2,137.96	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,235.94 / $6,456.54	Professional		$1,778.28	$3,235.94	$6,456.54