Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,484.42 / $3,484.42 / $3,484.42	Facility		$3,484.42	$3,484.42	$3,484.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,262.56 / $2,988.99 / $3,484.42	Professional		$2,262.56	$2,988.99	$3,484.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,031.73 / $27,910.20 / $53,590.37	Facility		$13,031.73	$27,910.20	$53,590.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.61 / $579.51 / $579.51	Professional		$463.61	$579.51	$579.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $579.51 / $869.27	Professional		$200.00	$579.51	$869.27
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 $753.36 / $753.36 / $753.36	Professional		$753.36	$753.36	$753.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,826.34 / $2,812.95 / $5,128.97	Professional		$1,826.34	$2,812.95	$5,128.97