Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $2,740.69 / $4,722.64	Facility		$1,808.65	$2,740.69	$4,722.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,809.44 / $2,193.05	Professional		$1,808.65	$1,809.44	$2,193.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,790.40 / $4,666.83 / $19,173.81	Facility		$1,790.40	$4,666.83	$19,173.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,808.65	Facility		$1,808.65	$1,808.65	$1,808.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,808.65	Professional		$1,808.65	$1,808.65	$1,808.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $966.08 / $1,897.40 / $3,481.83	Professional		$966.08	$1,897.40	$3,481.83
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 $2,351.25 / $2,351.25 / $2,351.25	Professional		$2,351.25	$2,351.25	$2,351.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $2,025.69 / $2,046.13	Professional		$1,808.65	$2,025.69	$2,046.13