Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,025.60 / $10,715.19	Facility		$3,715.35	$6,025.60	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $4,168.69	Professional		$2,398.83	$2,951.21	$4,168.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,897.79 / $5,888.44	Facility		$4,365.16	$4,897.79	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,760.83 / $18,197.01	Facility		$2,344.23	$6,760.83	$18,197.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,365.16 / $5,248.07	Professional		$4,168.69	$4,365.16	$5,248.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $3,981.07 / $6,456.54	Professional		$125.89	$3,981.07	$6,456.54
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $7,244.36	Facility		$3,630.78	$3,630.78	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $3,630.78	Professional		$1,513.56	$2,137.96	$3,630.78