Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,760.83 / $11,748.98	Facility		$3,890.45	$6,760.83	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $6,309.57	Professional		$2,630.27	$3,311.31	$6,309.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $13,489.63 / $48,977.88	Facility		$4,786.30	$13,489.63	$48,977.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,951.21 / $2,951.21	Professional		$2,691.53	$2,951.21	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $8,317.64 / $17,782.79	Facility		$2,511.89	$8,317.64	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $6,456.54	Professional		$1,778.28	$4,466.84	$6,456.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,011.87 / $7,943.28	Professional		$3,388.44	$5,011.87	$7,943.28
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 $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $7,762.47	Facility		$3,890.45	$3,890.45	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,890.45	Professional		$1,621.81	$2,344.23	$3,890.45