Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,715.35	Facility		$3,467.37	$3,467.37	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $3,467.37	Professional		$1,905.46	$3,019.95	$3,467.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $28,183.83 / $53,703.18	Facility		$10,232.93	$28,183.83	$53,703.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $575.44	Professional		$467.74	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $870.96	Professional		$346.74	$575.44	$870.96
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 $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,754.23 / $3,715.35	Facility		$295.12	$2,754.23	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $5,011.87	Professional		$1,819.70	$3,019.95	$5,011.87