Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.20 / $1,500.20 / $1,500.20	Facility		$1,500.20	$1,500.20	$1,500.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,194.95 / $1,500.20 / $2,394.73	Professional		$1,194.95	$1,500.20	$2,394.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,622.02 / $6,127.82 / $26,079.82	Facility		$3,622.02	$6,127.82	$26,079.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,960.76 / $1,960.76 / $2,740.03	Facility		$1,960.76	$1,960.76	$2,740.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,960.76 / $3,513.75	Professional		$1,431.35	$1,960.76	$3,513.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,576.39 / $3,190.38 / $4,084.64	Professional		$2,576.39	$3,190.38	$4,084.64
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 $3,940.37 / $3,940.37 / $3,940.37	Professional		$3,940.37	$3,940.37	$3,940.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.99 / $1,512.16 / $2,595.87	Professional		$1,148.99	$1,512.16	$2,595.87