Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,424.06 / $32,687.70 / $56,848.10	Facility		$28,424.06	$32,687.70	$56,848.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $31,266.50	Professional		$28,424.06	$28,424.06	$31,266.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,336.00 / $15,632.21 / $251,161.83	Facility		$5,336.00	$15,632.21	$251,161.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30,007.04 / $30,007.04 / $36,200.00	Professional		$30,007.04	$30,007.04	$36,200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $28,424.06	Facility		$28,424.06	$28,424.06	$28,424.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $32,178.18	Professional		$28,424.06	$28,424.06	$32,178.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,022.26 / $31,408.59 / $42,636.09	Professional		$3,022.26	$31,408.59	$42,636.09
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 $36,951.28 / $36,951.28 / $36,951.28	Professional		$36,951.28	$36,951.28	$36,951.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $27,070.53 / $37,898.74 / $40,605.80	Professional		$27,070.53	$37,898.74	$40,605.80
United Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $30,059.85 / $32,299.40	Professional		$28,424.06	$30,059.85	$32,299.40