Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,940.17 / $4,930.21	Facility		$2,429.89	$2,940.17	$4,930.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,684.77	Professional		$2,429.89	$2,429.89	$2,684.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.32 / $343.23 / $27,710.28	Facility		$116.32	$343.23	$27,710.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,732.35 / $3,085.78 / $3,095.00	Professional		$2,732.35	$3,085.78	$3,095.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,429.89	Facility		$2,429.89	$2,429.89	$2,429.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,974.42	Professional		$2,429.89	$2,429.89	$2,974.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,172.03 / $3,401.85 / $5,362.80	Professional		$2,172.03	$3,401.85	$5,362.80
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 $3,158.86 / $3,158.86 / $3,158.86	Professional		$3,158.86	$3,158.86	$3,158.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,441.48 / $3,418.09 / $3,662.24	Professional		$2,441.48	$3,418.09	$3,662.24
United Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,575.67 / $2,772.60	Professional		$2,429.89	$2,575.67	$2,772.60