Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,609.00 / $5,389.00	Facility		$755.00	$1,609.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,057.17 / $8,057.17 / $8,057.17	Professional		$8,057.17	$8,057.17	$8,057.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,578.31 / $5,433.31 / $6,940.36	Facility		$3,578.31	$5,433.31	$6,940.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $587.00 / $5,101.71	Facility		$400.00	$587.00	$5,101.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.70 / $662.70 / $662.70	Professional		$662.70	$662.70	$662.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,116.00 / $3,620.00 / $6,195.00	Facility		$1,116.00	$3,620.00	$6,195.00