Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $3,311.31	Facility		$1,659.59	$1,659.59	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $3,311.31	Professional		$1,348.96	$1,659.59	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,309.57 / $22,387.21	Facility		$3,890.45	$6,309.57	$22,387.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $2,454.71	Professional		$1,995.26	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,137.96	Facility		$1,819.70	$1,819.70	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,388.44	Professional		$1,318.26	$1,318.26	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $4,570.88	Professional		$2,570.40	$3,715.35	$4,570.88
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 $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,454.71	Professional		$1,698.24	$1,698.24	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,570.40 / $4,786.30	Facility		$1,230.27	$2,570.40	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,398.83	Professional		$1,202.26	$1,621.81	$2,398.83