Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.97 / $1,117.97 / $1,117.97	Facility		$1,117.97	$1,117.97	$1,117.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.72 / $1,117.97 / $1,740.10	Professional		$873.72	$1,117.97	$1,740.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,599.65 / $4,398.14 / $18,715.32	Facility		$2,599.65	$4,398.14	$18,715.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,401.94 / $1,653.10 / $1,653.10	Professional		$1,401.94	$1,653.10	$1,653.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $2,380.90	Facility		$1,540.39	$1,540.39	$2,380.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,540.39 / $2,521.50	Professional		$1,124.48	$1,540.39	$2,521.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,863.17 / $2,422.69 / $2,982.12	Professional		$1,863.17	$2,422.69	$2,982.12
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 $2,827.67 / $2,827.67 / $2,827.67	Professional		$2,827.67	$2,827.67	$2,827.67
United Facility/Professional Professional Modifier Low / Median / High Price $807.83 / $1,085.15 / $1,921.51	Professional		$807.83	$1,085.15	$1,921.51