Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.32 / $1,206.32 / $1,206.32	Facility		$1,206.32	$1,206.32	$1,206.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.66 / $1,206.32 / $1,685.93	Professional		$865.66	$1,206.32	$1,685.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,912.88 / $4,928.08 / $20,970.91	Facility		$2,912.88	$4,928.08	$20,970.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $2,220.73	Facility		$1,576.65	$1,576.65	$2,220.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,576.65 / $2,825.63	Professional		$1,150.95	$1,576.65	$2,825.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,018.85 / $2,484.64 / $3,168.48	Professional		$2,018.85	$2,484.64	$3,168.48
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 $3,168.48 / $3,168.48 / $3,168.48	Professional		$3,168.48	$3,168.48	$3,168.48
United Facility/Professional Professional Modifier Low / Median / High Price $810.63 / $1,215.94 / $2,087.37	Professional		$810.63	$1,215.94	$2,087.37