Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,638.86 / $5,854.38 / $9,497.42	Facility		$3,638.86	$5,854.38	$9,497.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,638.86 / $3,660.83 / $4,728.54	Professional		$3,638.86	$3,660.83	$4,728.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,245.52 / $13,266.58 / $62,273.20	Facility		$5,245.52	$13,266.58	$62,273.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,660.83	Facility		$3,660.83	$3,660.83	$3,660.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,660.83	Professional		$3,660.83	$3,660.83	$3,660.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $682.54 / $3,919.73 / $5,964.00	Professional		$682.54	$3,919.73	$5,964.00
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 $4,759.08 / $4,759.08 / $4,759.08	Professional		$4,759.08	$4,759.08	$4,759.08
United Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $4,013.51	Professional		$3,660.83	$3,660.83	$4,013.51