Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.22 / $1,061.22 / $1,061.22	Facility		$1,061.22	$1,061.22	$1,061.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.37 / $1,061.22 / $1,651.77	Professional		$829.37	$1,061.22	$1,651.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,467.67 / $4,174.88 / $17,765.20	Facility		$2,467.67	$4,174.88	$17,765.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.63 / $1,335.63 / $2,260.02	Facility		$1,335.63	$1,335.63	$2,260.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $1,335.63 / $2,393.63	Professional		$975.01	$1,335.63	$2,393.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,775.46 / $2,308.66 / $2,841.74	Professional		$1,775.46	$2,308.66	$2,841.74
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 $2,684.12 / $2,684.12 / $2,684.12	Professional		$2,684.12	$2,684.12	$2,684.12
United Facility/Professional Professional Modifier Low / Median / High Price $766.82 / $1,025.00 / $1,768.27	Professional		$766.82	$1,025.00	$1,768.27