Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,818.38 / $4,897.79	Facility		$1,621.81	$2,818.38	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,454.71	Professional		$1,071.52	$1,380.38	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,754.40 / $20,417.38	Facility		$1,995.26	$5,754.40	$20,417.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $1,122.02 / $1,258.93	Professional		$3.47	$1,122.02	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,467.37 / $7,413.10	Facility		$1,047.13	$3,467.37	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,949.84 / $2,754.23	Professional		$831.76	$1,949.84	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,570.40 / $4,365.16	Professional		$1,288.25	$2,570.40	$4,365.16
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 $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $3,235.94	Facility		$1,047.13	$1,621.81	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,621.81	Professional		$676.08	$977.24	$1,621.81