Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,630.19 / $1,630.19 / $1,630.19	Facility		$1,630.19	$1,630.19	$1,630.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.42 / $1,630.19 / $2,467.36	Professional		$1,281.42	$1,630.19	$2,467.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,935.25 / $6,657.75 / $28,339.53	Facility		$3,935.25	$6,657.75	$28,339.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,503.19 / $2,503.19 / $2,503.19	Professional		$2,503.19	$2,503.19	$2,503.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.07 / $1,743.07 / $3,477.42	Facility		$1,743.07	$1,743.07	$3,477.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,272.44 / $3,856.43	Professional		$1,272.44	$1,272.44	$3,856.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,777.97 / $3,395.69 / $4,303.70	Professional		$2,777.97	$3,395.69	$4,303.70
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 $4,281.80 / $4,281.80 / $4,281.80	Professional		$4,281.80	$4,281.80	$4,281.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,859.37 / $2,656.25 / $2,789.06	Professional		$1,859.37	$2,656.25	$2,789.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,253.99 / $1,643.18 / $3,081.05	Professional		$1,253.99	$1,643.18	$3,081.05