Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,248.07 / $8,128.31	Facility		$2,818.38	$5,248.07	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $3,235.94 / $5,128.61	Professional		$1,348.96	$3,235.94	$5,128.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $3,630.78 / $33,884.42	Facility		$19.95	$3,630.78	$33,884.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $1,862.09 / $2,089.30	Professional		$3.47	$1,862.09	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,754.40 / $12,589.25	Facility		$1,778.28	$5,754.40	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,311.31 / $4,570.88	Professional		$1,318.26	$3,311.31	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,801.89 / $5,888.44	Professional		$2,454.71	$3,801.89	$5,888.44
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 $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $5,370.32	Facility		$2,691.53	$2,691.53	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,691.53	Professional		$1,148.15	$1,621.81	$2,691.53