Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.04 / $1,350.23 / $5,439.00	Facility		$790.04	$1,350.23	$5,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $1,687.50 / $3,688.08	Professional		$771.56	$1,687.50	$3,688.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,468.23 / $5,897.61 / $17,378.77	Facility		$2,468.23	$5,897.61	$17,378.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Facility		$771.56	$771.56	$771.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Professional		$771.56	$771.56	$771.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $655.83 / $1,080.18 / $2,074.50	Professional		$655.83	$1,080.18	$2,074.50
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 $1,003.03 / $1,003.03 / $1,003.03	Professional		$1,003.03	$1,003.03	$1,003.03
United Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $990.59	Professional		$771.56	$771.56	$990.59