Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.92 / $946.92 / $946.92	Facility		$946.92	$946.92	$946.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.02 / $946.92 / $1,473.86	Professional		$740.02	$946.92	$1,473.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $3,725.65 / $15,851.70	Facility		$2,202.15	$3,725.65	$15,851.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,187.43 / $1,400.16 / $1,400.16	Professional		$1,187.43	$1,400.16	$1,400.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,028.38 / $1,028.38 / $2,016.60	Facility		$1,028.38	$1,028.38	$2,016.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.72 / $750.72 / $2,156.98	Professional		$750.72	$750.72	$2,156.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,473.86 / $1,878.40 / $2,284.48	Professional		$1,473.86	$1,878.40	$2,284.48
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 $2,395.02 / $2,395.02 / $2,395.02	Professional		$2,395.02	$2,395.02	$2,395.02
United Facility/Professional Professional Modifier Low / Median / High Price $684.22 / $919.12 / $1,577.82	Professional		$684.22	$919.12	$1,577.82