Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,511.89	Facility		$1,202.26	$1,202.26	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $2,187.76	Professional		$851.14	$1,202.26	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,677.35 / $16,982.44	Facility		$2,951.21	$4,677.35	$16,982.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,290.87	Facility		$1,584.89	$1,584.89	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,454.71	Professional		$1,148.15	$1,148.15	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $3,162.28	Professional		$1,949.84	$2,511.89	$3,162.28
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 $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $3,090.30	Facility		$1,230.27	$1,949.84	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,737.80	Professional		$831.76	$1,202.26	$1,737.80