Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,855.86 / $5,429.82 / $8,434.68	Facility		$3,855.86	$5,429.82	$8,434.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,855.86 / $3,855.86 / $4,096.85	Professional		$3,855.86	$3,855.86	$4,096.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,820.79 / $16,511.22 / $66,730.16	Facility		$9,820.79	$16,511.22	$66,730.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,684.00 / $5,684.00 / $5,684.00	Professional		$5,684.00	$5,684.00	$5,684.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $4,819.82	Facility		$4,819.82	$4,819.82	$4,819.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $5,684.00	Professional		$4,819.82	$4,819.82	$5,684.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $5,404.70 / $8,756.20	Professional		$150.00	$5,404.70	$8,756.20
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $2,500.00 / $4,924.16	Professional		$40.00	$2,500.00	$4,924.16
United Facility/Professional Professional Modifier Low / Median / High Price $5,684.00 / $6,011.12 / $6,327.49	Professional		$5,684.00	$6,011.12	$6,327.49