Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,017.14 / $3,017.14 / $3,017.14	Facility		$3,017.14	$3,017.14	$3,017.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,479.94 / $3,017.14 / $4,415.97	Professional		$2,479.94	$3,017.14	$4,415.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,283.79 / $12,322.89 / $52,450.68	Facility		$7,283.79	$12,322.89	$52,450.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,943.38 / $3,943.38 / $5,894.99	Facility		$3,943.38	$3,943.38	$5,894.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $3,943.38 / $7,066.88	Professional		$2,878.67	$3,943.38	$7,066.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,181.54 / $7,033.32 / $8,585.87	Professional		$5,181.54	$7,033.32	$8,585.87
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 $7,924.71 / $7,924.71 / $7,924.71	Professional		$7,924.71	$7,924.71	$7,924.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,441.31 / $4,916.16 / $5,161.96	Professional		$3,441.31	$4,916.16	$5,161.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,320.88 / $3,041.19 / $6,335.81	Professional		$2,320.88	$3,041.19	$6,335.81