Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $5,888.44	Facility		$2,884.03	$2,884.03	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $5,011.87	Professional		$2,398.83	$2,884.03	$5,011.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,549.93 / $56,234.13	Facility		$7,079.46	$9,549.93	$56,234.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $6,606.93	Facility		$3,715.35	$3,715.35	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $6,456.54	Professional		$2,691.53	$2,691.53	$6,456.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,456.54 / $8,317.64	Professional		$4,897.79	$6,456.54	$8,317.64
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 $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,365.16	Professional		$3,019.95	$3,019.95	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,570.88 / $8,317.64	Facility		$3,388.44	$4,570.88	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $4,570.88	Professional		$2,187.76	$2,884.03	$4,570.88