Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $42,657.95 / $58,884.37	Facility		$28,183.83	$42,657.95	$58,884.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $38,018.94	Professional		$28,183.83	$28,183.83	$38,018.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $30,902.95 / $199,526.23	Facility		$5,495.41	$30,902.95	$199,526.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30,199.52 / $30,199.52 / $33,884.42	Professional		$30,199.52	$30,199.52	$33,884.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $28,183.83	Facility		$28,183.83	$28,183.83	$28,183.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $33,113.11	Professional		$28,183.83	$28,183.83	$33,113.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $31,622.78 / $42,657.95	Professional		$3,019.95	$31,622.78	$42,657.95
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 $37,153.52 / $37,153.52 / $37,153.52	Professional		$37,153.52	$37,153.52	$37,153.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $29,512.09 / $38,904.51 / $41,686.94	Professional		$29,512.09	$38,904.51	$41,686.94
United Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $44,668.36	Facility		$28,183.83	$28,183.83	$44,668.36
United Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $29,512.09 / $31,622.78	Professional		$28,183.83	$29,512.09	$31,622.78