Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,343.57 / $14,343.57 / $31,701.54	Facility		$14,343.57	$14,343.57	$31,701.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,631.57 / $14,343.57 / $23,777.08	Professional		$12,631.57	$14,343.57	$23,777.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32,200.00 / $58,585.51 / $249,351.84	Facility		$32,200.00	$58,585.51	$249,351.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22,024.94 / $22,024.94 / $22,024.94	Professional		$22,024.94	$22,024.94	$22,024.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,200.25 / $16,200.25 / $31,714.32	Facility		$16,200.25	$16,200.25	$31,714.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,826.18 / $16,200.25 / $33,597.00	Professional		$11,826.18	$16,200.25	$33,597.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25,870.52 / $31,742.25 / $40,230.11	Professional		$25,870.52	$31,742.25	$40,230.11
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 $37,674.23 / $37,674.23 / $37,674.23	Professional		$37,674.23	$37,674.23	$37,674.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $17,660.06 / $25,228.67 / $26,490.10	Professional		$17,660.06	$25,228.67	$26,490.10
United Facility/Professional Facility Modifier Low / Median / High Price $28,980.18 / $41,482.01 / $77,087.42	Facility		$28,980.18	$41,482.01	$77,087.42
United Facility/Professional Professional Modifier Low / Median / High Price $10,778.61 / $14,457.89 / $25,601.03	Professional		$10,778.61	$14,457.89	$25,601.03