Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.77 / $1,604.77 / $1,604.77	Facility		$1,604.77	$1,604.77	$1,604.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,453.05 / $1,604.77 / $2,671.97	Professional		$1,453.05	$1,604.77	$2,671.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,874.83 / $6,555.53 / $27,897.76	Facility		$3,874.83	$6,555.53	$27,897.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.29 / $1,808.29 / $3,286.25	Facility		$1,808.29	$1,808.29	$3,286.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,537.05 / $1,537.05 / $3,796.59	Professional		$1,537.05	$1,537.05	$3,796.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,593.86 / $2,987.50 / $3,728.68	Professional		$2,593.86	$2,987.50	$3,728.68
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 $4,215.03 / $4,215.03 / $4,215.03	Professional		$4,215.03	$4,215.03	$4,215.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $2,228.58 / $2,340.00	Professional		$1,560.00	$2,228.58	$2,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,234.44 / $1,617.56 / $2,776.82	Professional		$1,234.44	$1,617.56	$2,776.82