Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,672.47 / $7,544.20 / $12,195.10	Facility		$4,672.47	$7,544.20	$12,195.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,672.47 / $4,686.85 / $5,663.03	Professional		$4,672.47	$4,686.85	$5,663.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,241.60 / $9,014.79 / $53,439.72	Facility		$3,241.60	$9,014.79	$53,439.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Facility		$4,686.85	$4,686.85	$4,686.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,346.34 / $4,686.85 / $6,561.59	Professional		$3,346.34	$4,686.85	$6,561.59
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 $6,092.91 / $6,092.91 / $6,092.91	Professional		$6,092.91	$6,092.91	$6,092.91
United Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $5,985.67	Professional		$4,686.85	$4,686.85	$5,985.67