Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,390.71 / $2,390.71 / $2,390.71	Facility		$2,390.71	$2,390.71	$2,390.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,105.36 / $2,390.71 / $3,963.03	Professional		$2,105.36	$2,390.71	$3,963.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,771.70 / $9,764.70 / $41,560.89	Facility		$5,771.70	$9,764.70	$41,560.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,671.02 / $3,671.02 / $3,671.02	Professional		$3,671.02	$3,671.02	$3,671.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $2,886.72 / $5,287.19	Facility		$2,886.72	$2,886.72	$5,287.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,886.72 / $5,599.88	Professional		$2,107.31	$2,886.72	$5,599.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,347.26 / $5,313.32 / $6,762.41	Professional		$4,347.26	$5,313.32	$6,762.41
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 $6,279.38 / $6,279.38 / $6,279.38	Professional		$6,279.38	$6,279.38	$6,279.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,943.50 / $4,205.00 / $4,415.25	Professional		$2,943.50	$4,205.00	$4,415.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,830.29 / $6,904.03 / $12,829.99	Facility		$4,830.29	$6,904.03	$12,829.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,839.02 / $2,409.78 / $4,136.79	Professional		$1,839.02	$2,409.78	$4,136.79