Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,115.83 / $3,115.83 / $3,115.83	Facility		$3,115.83	$3,115.83	$3,115.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,470.31 / $3,115.83 / $4,605.97	Professional		$2,470.31	$3,115.83	$4,605.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,522.29 / $12,726.39 / $54,166.24	Facility		$7,522.29	$12,726.39	$54,166.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,072.36 / $4,072.36 / $5,924.70	Facility		$4,072.36	$4,072.36	$5,924.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $4,072.36 / $7,298.25	Professional		$2,972.82	$4,072.36	$7,298.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $8,080.09 / $9,714.61	Professional		$5,351.02	$8,080.09	$9,714.61
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 $8,183.92 / $8,183.92 / $8,183.92	Professional		$8,183.92	$8,183.92	$8,183.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,553.87 / $5,076.96 / $5,330.80	Professional		$3,553.87	$5,076.96	$5,330.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,380.81 / $3,140.66 / $5,257.94	Professional		$2,380.81	$3,140.66	$5,257.94