Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.35 / $1,902.35 / $1,902.35	Facility		$1,902.35	$1,902.35	$1,902.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,469.98 / $1,902.35 / $2,826.89	Professional		$1,469.98	$1,902.35	$2,826.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,421.79 / $7,480.89 / $31,846.04	Facility		$4,421.79	$7,480.89	$31,846.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,766.56 / $2,390.98 / $2,462.71	Professional		$1,766.56	$2,390.98	$2,462.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $3,551.23	Facility		$2,017.28	$2,017.28	$3,551.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $2,017.28 / $4,290.75	Professional		$1,472.61	$2,017.28	$4,290.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,146.03 / $4,071.33 / $5,143.22	Professional		$3,146.03	$4,071.33	$5,143.22
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 $4,811.57 / $4,811.57 / $4,811.57	Professional		$4,811.57	$4,811.57	$4,811.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,342.17 / $1,830.02 / $3,169.81	Professional		$1,342.17	$1,830.02	$3,169.81