Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $2,992.50	Facility		$2,979.56	$2,979.56	$2,992.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,098.74	Professional		$2,979.56	$2,979.56	$3,098.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,241.28 / $3,241.28 / $3,241.28	Professional		$3,241.28	$3,241.28	$3,241.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $2,979.55	Facility		$2,979.55	$2,979.55	$2,979.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $2,979.55	Professional		$2,979.55	$2,979.55	$2,979.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,669.29 / $2,979.56 / $4,469.34	Professional		$1,669.29	$2,979.56	$4,469.34
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 $3,873.43 / $3,873.43 / $3,873.43	Professional		$3,873.43	$3,873.43	$3,873.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $4,208.80	Professional		$30.00	$40.00	$4,208.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,167.27	Professional		$2,979.56	$2,979.56	$3,167.27